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Proximal row carpectomy in emergency.

D R Della Santa1, G R Sennwald, L Mathys

  • 1Surgery Department, University Hospital, Geneva, Switzerland. dominique.dellasanta@hcuge.ch

Chirurgie De La Main
|August 27, 2010
PubMed
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Emergency proximal row carpectomy (PRC) offers superior patient satisfaction and grip strength compared to elective PRC for wrist injuries. This salvage procedure demonstrates better outcomes when performed urgently for post-traumatic wrist collapse.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Hand Surgery

Background:

  • Proximal row carpectomy (PRC) is a standard treatment for early post-traumatic wrist degeneration.
  • PRC is less commonly used as an emergency procedure for severe wrist fracture-dislocations.

Purpose of the Study:

  • To compare clinical and radiographic outcomes of emergency PRC versus elective PRC.
  • To evaluate patient satisfaction, wrist function, and return to work after PRC in different contexts.

Main Methods:

  • Retrospective analysis of six patients undergoing emergency PRC and six undergoing elective PRC.
  • Mean follow-up of 36 months.
  • Assessment of patient satisfaction, grip strength, Quick DASH score, and radiographic results.

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Main Results:

  • Patients undergoing emergency PRC reported significantly better satisfaction and grip strength than those with elective PRC.
  • Favorable trends in Quick DASH scores and return to work were observed in the emergency group, though not statistically significant.
  • PRC confirmed as a valuable salvage technique for post-traumatic wrist collapse.

Conclusions:

  • Emergency proximal row carpectomy yields superior subjective and objective results compared to elective PRC.
  • PRC is an effective salvage procedure for early post-traumatic wrist collapse, particularly when performed emergently.
  • A majority of patients treated with emergency PRC can return to their previous employment.