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Updated: Mar 23, 2026

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Proximal Row Carpectomy: Open Versus Arthroscopy.

Rebecca Q R Lim1, Harvey Chim2

  • 1Department of Hand & Reconstructive Microsurgery, Singapore General Hospital, Singapore.

Hand Clinics
|March 21, 2026
PubMed
Summary
This summary is machine-generated.

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Proximal row carpectomy (PRC) is a surgical wrist salvage procedure. This review examines arthroscopic PRC, discussing its benefits like faster recovery versus challenges such as a steep learning curve.

Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Wrist Reconstruction

Background:

  • Proximal row carpectomy (PRC) is a standard procedure for wrist degeneration and trauma.
  • Graft modifications have broadened PRC indications.
  • Minimally invasive arthroscopic techniques are gaining traction in hand surgery.

Purpose of the Study:

  • To review current evidence on arthroscopic proximal row carpectomy (PRC).
  • To discuss emerging trends in arthroscopic PRC for wrist salvage.
  • To evaluate the utility of arthroscopy as an adjunct for PRC.

Main Methods:

  • Literature review of existing studies on arthroscopic PRC.
  • Analysis of potential benefits and drawbacks of the arthroscopic approach.
  • Discussion of the learning curve and intraoperative time considerations.
Keywords:
ArthroscopicCartilageDegenerativeProximal row carpectomySalvage proceduresTraumaticWrist

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Main Results:

  • Arthroscopic PRC offers potential for reduced soft tissue injury and accelerated rehabilitation.
  • A significant learning curve and potentially longer operative times are associated with arthroscopic PRC.
  • The evidence base for arthroscopic PRC is still evolving.

Conclusions:

  • Arthroscopic PRC presents a minimally invasive alternative for wrist salvage.
  • Further research is needed to fully establish the role and optimize techniques for arthroscopic PRC.
  • Surgeons must weigh the benefits against the challenges of the arthroscopic approach.