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[Proximal Row Carpectomy - Five-Year Results].

A Švarc1, J Pilný, M Repko

  • 1Ortopedické oddělení, Nemocnice Pardubice.

Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|October 9, 2018
PubMed
Summary
This summary is machine-generated.

Proximal row carpectomy effectively treats wrist degeneration, improving motion, strength, and pain relief in most patients after 5 years. This surgical technique offers favorable functional results with minimal complications.

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Musculoskeletal Research

Background:

  • Degenerative changes in the wrist, including SLAC and SNAC wrist, avascular necrosis of the lunate, and chronic wrist dislocations, often lead to significant pain and functional impairment.
  • Proximal row carpectomy is a surgical option for managing these debilitating wrist conditions.

Purpose of the Study:

  • To evaluate the long-term outcomes of proximal row carpectomy in patients with degenerative wrist conditions.
  • To assess functional recovery, pain reduction, and patient satisfaction at a minimum 5-year follow-up.

Main Methods:

  • A cohort of 25 patients undergoing proximal row carpectomy for various wrist pathologies were retrospectively analyzed.
  • Follow-up included clinical assessments (range of motion, grip strength, pain, Green and O'Brien score, patient satisfaction) and radiological evaluations (fluoroscopy) at least 5 years post-surgery.

Main Results:

  • Postoperative improvements were observed in wrist range of motion and grip strength.
  • Significant pain relief at rest and during activity was achieved, with 85.6% of patients reporting overall improvement at 5 years.
  • The mean Green and O'Brien clinical score improved from 35.8 preoperatively to 63.1 postoperatively.

Conclusions:

  • Proximal row carpectomy is a technically straightforward and effective surgical technique for treating specific degenerative wrist conditions.
  • The procedure demonstrates a low complication rate and yields favorable functional results, including preserved motion, improved grip strength, and substantial pain relief, making it a suitable option for indicated cases.