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Long-term results following proximal row carpectomy

M M Tomaino1, J Delsignore, R I Burton

  • 1Department of Orthopaedic Surgery, University of Pittsburgh, PA.

The Journal of Hand Surgery
|July 1, 1994
PubMed
Summary

Proximal row carpectomy offers lasting pain relief and improved function for wrist conditions. Patient satisfaction remains high, with maintained grip strength and motion six years post-surgery.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Wrist Biomechanics

Background:

  • Proximal row carpectomy (PRC) is a surgical option for debilitating wrist conditions.
  • Indications include Kienböck's disease, scapholunate dissociation with arthritis, and scaphoid nonunion.
  • Long-term functional outcomes and patient satisfaction following PRC require further investigation.

Purpose of the Study:

  • To evaluate the long-term functional outcomes, patient satisfaction, and radiographic status after proximal row carpectomy.
  • To assess the durability of results at an average of six years post-operatively.

Main Methods:

  • A retrospective review of 23 patients who underwent proximal row carpectomy.
  • Assessment of functional outcomes including wrist range of motion and grip strength.
  • Evaluation of patient satisfaction and radiographic evidence of arthritis.

Main Results:

  • Twenty out of 23 patients reported satisfaction with functional performance and pain relief.
  • Average wrist flexion-extension arc was 61% of the contralateral side.
  • Average grip strength improved to 79% of the opposite side.
  • Radiocarpal arthritis developed in three wrists; one required arthrodesis.

Conclusions:

  • Proximal row carpectomy provides sustained satisfactory pain relief and functional improvement for specific wrist pathologies.
  • The positive outcomes of PRC are maintained at an average of six years post-surgery.
  • PRC is a viable option for managing Kienböck's disease, complex carpal instability, and nonunions.

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