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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
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.
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.