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Related Experiment Video

Updated: Jun 18, 2026

Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Published on: August 15, 2025

Proximal row carpectomy: long-term results.

J Richou1, C Chuinard, G Moineau

  • 1Service de chirurgie orthopédique et traumatologique, faculté de médecine, hôpital de Cavale-Blanche, CHU de Brest, boulevard Tanguy-Prigent, 29200 Brest, France. julrichou@hotmail.com

Chirurgie De La Main
|December 8, 2009
PubMed
Summary
This summary is machine-generated.

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Proximal row carpectomy offers long-term relief for degenerative wrist conditions, improving pain, function, and patient satisfaction. This procedure is a viable treatment option, not just a salvage surgery.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Musculoskeletal Research

Background:

  • Degenerative wrist conditions significantly impact quality of life.
  • Current treatments for advanced wrist degeneration have limitations.
  • Proximal row carpectomy is an alternative surgical option.

Purpose of the Study:

  • To evaluate the long-term clinical outcomes of proximal row carpectomy.
  • To determine if proximal row carpectomy leads to a painless, mobile, and functional wrist.
  • To assess the procedure's efficacy across various degenerative etiologies.

Main Methods:

  • Retrospective analysis of 24 patients undergoing proximal row carpectomy.
  • Objective assessments included mobility, strength, and radiographic evaluation.

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  • Subjective assessments comprised pain, wrist value, and functional scores (DASH).
  • Main Results:

    • Average follow-up of 116 months showed pain improvement in all patients.
    • 83% patient satisfaction with a mean VAS of 1.2; 76% subjective wrist value.
    • Average flexion-extension arc of 76 degrees; grip strength at 78% of contralateral limb.

    Conclusions:

    • Proximal row carpectomy demonstrates long-term efficacy for degenerative wrist pain.
    • The procedure offers technical simplicity, rapid rehabilitation, and few complications.
    • Proximal row carpectomy should be considered a primary treatment, not solely a salvage procedure.