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Published on: May 19, 2022
Outcome of proximal row carpectomy
Luc De Smet1, Filip Robijns, Ilse Degreef
1Department of Orthopaedic Surgery, U.Z. Pellenberg, Lubbeek, Pellenberg, Belgium. luc.desmet@uz.kuleuven.ac.be
Summary
Proximal row carpectomy effectively relieved pain and restored function for most patients with wrist conditions. The procedure allowed most patients to return to work with durable results.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthroscopy
Background:
- Proximal row carpectomy (PRC) is a surgical option for various wrist conditions.
- Indications for PRC include Kienböck disease, scaphoid nonunion, and scapholunate advanced collapse.
- Long-term outcomes of PRC require further evaluation.
Purpose of the Study:
- To retrospectively evaluate the clinical and radiological outcomes of proximal row carpectomy.
- To assess patient-reported outcomes, return to work, and overall wrist function after PRC.
- To identify factors associated with surgical success and failure.
Main Methods:
- Retrospective review of 51 patients who underwent proximal row carpectomy between 1992 and 2002.
- Minimum one-year clinical and radiological follow-up.
- Assessment using Disabilities of the Arm, Shoulder and Hand (DASH) and Patient-Rated Wrist Evaluation (PRWE) scores.
Main Results:
- Mean follow-up was 5 years and 8 months.
- Mean DASH score was 18; mean PRWE score indicated 25% disability.
- 87% of patients returned to work; 11% required wrist arthrodesis (failures).
- Mean wrist motion: flexion 66%, extension 73%, radial deviation 74%, ulnar deviation 76%.
- Mean grip strength was 70% of the contralateral side.
Conclusions:
- Proximal row carpectomy provides predictable and durable pain relief.
- The procedure restores functional wrist movement and grip strength.
- PRC enables return to gainful employment for the majority of patients.
