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Proximal row carpectomy through a palmar approach

R Luchetti1, O Soragni, T Fairplay

  • 1Department of Orthopaedics, Traumatology and Surgery of the Hand, State Hospital, Cailungo, San Marino, Republic of San Marino.

Journal of Hand Surgery (Edinburgh, Scotland)
|July 17, 1998
PubMed
Summary

Proximal row carpectomy offers significant pain relief and improved grip strength for wrist conditions. Most patients experienced excellent outcomes, returning to work quickly with high satisfaction.

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Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Wrist Biomechanics

Background:

  • Wrist pain and dysfunction significantly impact quality of life.
  • Proximal row carpectomy (PRC) is a surgical option for specific wrist pathologies.
  • Evaluating the functional and clinical outcomes of PRC is crucial for patient management.

Purpose of the Study:

  • To assess the efficacy of proximal row carpectomy (PRC) performed via a palmar approach.
  • To evaluate pain relief, range of motion, grip strength, and patient satisfaction following PRC.
  • To investigate radiographic changes and wrist stability after PRC.

Main Methods:

  • A retrospective review of nine patients undergoing palmar approach proximal row carpectomy (PRC) between 1990 and 1994.
  • Average follow-up duration of 20 months.

Related Experiment Videos

  • Assessment of pain, wrist range of motion (flexion/extension, radial/ulnar deviation), grip strength, radiographic changes, and patient satisfaction.

    • Main Results:

    • Seven out of nine patients reported complete pain relief.
    • Wrist flexion/extension range remained unchanged; radial/ulnar deviation significantly increased (25° to 46°).
    • All patients showed improved grip strength; four had minor radiographic changes (reduced articular space, sclerosis) without functional compromise. No instability noted.

    Conclusions:

    • Palmar approach proximal row carpectomy (PRC) is an effective procedure for managing specific wrist conditions, yielding high patient satisfaction.
    • PRC can restore function and alleviate pain, allowing a rapid return to work.
    • While minor radiographic changes may occur, they do not typically impede functional recovery or wrist stability.