Proximal Row Carpectomy
نویسنده
چکیده
Excision of the proximal carpal row has proven over the past 60 years to be an effective technique for certain disorders of the wrist, including degenerative sequelae of scapholunate ligament dissociation and scaphoid nonunions, Kienböck disease, Preisser disease, and other fracture-dislocations of the wrist. The durability of this procedure may be due to remodeling of the capitate head to the lunate fossa. Poor results have been noted in patients with rheumatoid arthritis and arthrogrypotic wrist deformities. Preservation of relatively normal cartilage of the capitate head as well as the lunate fossa is critical for success of this procedure. Average outcomes of this procedure include a wrist extension-flexion arc of 75° and grip strength of 60% of the uninvolved wrist. Revision to total wrist arthrodesis is required in 10% of patients. Approximately 90% have pain relief and can return to moderate use activity. Copyright © 2001 by the American Society for Surgery of the Hand
منابع مشابه
Osteochondral resurfacing with proximal row carpectomy: 8-year follow-up.
Degenerative arthrosis of the proximal row remains a challenging problem for both patients and surgeons. Proximal row carpectomy is a motion-preserving treatment option, with studies documenting acceptable long-term outcomes. Proximal row carpectomy is an attractive option because there is no need for fusion to occur between the carpal bones, as in 4-corner fusion. As a result, laborers and smo...
متن کاملProximal row carpectomy: a volar approach.
We retrospectively evaluated 14 patients who underwent proximal row carpectomy through a volar, instead of the routine dorsal approach. The patients were screened for range of motion, grip strength, VAS pain score, and responded to a DASH questionnaire. At a mean follow-up of 16 months, range of motion and grip strength were satisfactory. The disability score was improved, however the pain scor...
متن کاملarthropathy: A systematic review Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist
We conducted a systematic review of studies reporting clinical outcomes after proximal row carpectomy or to four-corner arthrodesis for scaphoid non-union advanced collapse or scapholunate advanced collapse arthritis. Seven studies (Levels I–III; 240 patients, 242 wrists) were evaluated. Significantly different postoperative values were as follows for four-corner arthrodesis versus proximal row...
متن کاملComparison between proximal row carpectomy and four‐corner fusion for treating osteoarthrosis following carpal trauma: a prospective randomized study
OBJECTIVE To compare the functional results of carpectomy and four-corner fusion surgical procedures for treating osteoarthrosis following carpal trauma. METHODS In this prospective randomized study, 20 patients underwent proximal row carpectomy or four-corner fusion to treat wrist arthritis and their functional results were compared. The midcarpal joint was free of lesions in all patients. ...
متن کاملDistal Row Carpectomy—A Possible Salvage Procedure of Severe Carpal Trauma
Complex fracture dislocations of the wrist often result in posttraumatic arthrosis. In trying to avoid total arthrodesis, alternative treatment strategies have been investigated. For this purpose, we present the case of a 56-year-old male patient who sustained a direct trauma during a circular saw accident, resulting in the destruction of the distal carpal row among other things. However, the p...
متن کاملFunctional outcomes of proximal row carpectomy: 2-year follow-up.
OBJECTIVE : To evaluate functional outcomes of patients submit-ted to proximal row carpectomy for the treatment of wrist arthri-tis. METHODS : This is a retrospective study using wrist motion and grip strenght of patients diagnosed with Kienböck disease and scaphoid non-union surgically treated by this technique. RESULTS : Eleven patients with 2-year follow-up were evaluated. Wrist motion (...
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