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Related Experiment Videos

Proximal row carpectomy: a minimum 10-year follow-up study.

Peter J L Jebson1, Edward P Hayes, William D Engber

  • 1Department of Orthopaedic Surgery, University of Michigan Hospitals and Clinics, Ann Arbor, MI, USA.

The Journal of Hand Surgery
|July 25, 2003
PubMed
Summary

Proximal row carpectomy (PRC) offers durable, long-term wrist pain relief and functional recovery for most patients. This procedure maintains wrist motion and grip strength, leading to high satisfaction and return to work.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Wrist Arthroscopy

Background:

  • Proximal row carpectomy (PRC) is a surgical option for various degenerative and posttraumatic wrist disorders.
  • Long-term outcomes of PRC are crucial for understanding its durability and impact on patient function.

Purpose of the Study:

  • To evaluate the long-term clinical and radiographic results following proximal row carpectomy (PRC).
  • To assess patient satisfaction, return to work, and functional recovery after PRC.

Main Methods:

  • Twenty patients with wrist disorders underwent PRC.
  • Evaluations included physical examination, radiographs, and questionnaires assessing pain, function, and satisfaction.
  • Average follow-up was 13.1 years.

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Main Results:

  • 18 of 20 patients had satisfactory outcomes with preserved wrist motion (63%) and grip strength (83%).
  • 17 patients reported satisfaction; 10% experienced persistent pain.
  • Radiographs showed proximal capitate flattening in 6 patients and varying degrees of radiocapitate arthrosis in 4 patients, without correlation to satisfaction.

Conclusions:

  • Proximal row carpectomy (PRC) is a dependable procedure providing durable pain relief, functional motion, grip strength, and high patient satisfaction.
  • The majority of patients successfully return to work and previous activity levels.
  • No progressive symptomatic radiocapitate arthrosis was observed in the long term.