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Functional outcomes of proximal row carpectomy: 2-year follow-up
Luiz Garcia Mandarano-Filho1, Débora Schalge Campioto1, Márcio Takey Bezuti1
1Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Hand and Microsurgery Group, Ribeirão Preto, SP, Brasil. Work developed at Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Ribeirão Preto, SP, Brasil.
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 (flexion, extension and ulnar deviation) and grip strength were significantly better from preoperative values. Ho-wever, no difference in radial deviation was observed in these patients.
Conclusion:
: Proximal row carpectomy provides an alternative option for treatment of wrist arthritis, resulting in better active range of motion and grip strength in the long run. Level of Evidence IV, Case Series.
