J Korean Orthop Assoc.  2008 Aug;43(4):473-478. 10.4055/jkoa.2008.43.4.473.

The Efficacy of Proximal Row Carpectomy

• Chung DW
• Han CS
• Hwang JC
• Son ES

• KMID: 1480408
• DOI: http://doi.org/10.4055/jkoa.2008.43.4.473

Abstract

PURPOSE: To evaluate the effects of proximal row carpectomy.
MATERIALS AND METHODS
We performed a retrospective review of the cases of 14 patients who had undergone proximal row carpectomy between April 1996 and January 2006. All of the patients were men with an average age of 37.5 years (range, 25-64 years). The mean follow-up period was 59 months (range, 18-101months). Evaluation of results was based on x-ray analysis, pain relief, the ability to return to work, activity level, range of motion (ROM) and grip strength. Pain relief was classified as very satisfied, satisfied, dissatisfied and very dissatisfied.
RESULTS
The subjective results of pain relief were very satisfied in 6 cases, satisfied in 7 cases, dissatisfied in 1 case. 7 cases (50%) returned to previous occupations and 11 cases (79%) had little restriction on their daily activities. The total arc was improved from average 42 degree to 59 degree. The grip strength using Jamar dynanometer was increased from average 7.8 lbs (10.5% of the unaffected side) to average 33 lbs (44% of the unaffected side).
CONCLUSION
Proximal row carpectomy is an effective surgery with preserving ROM and function for patients with wrist pain and diminished function if it is done within proper indication.

Keyword

Wrist; Proximal row; Proximal row carpectomy

MeSH Terms

Follow-Up Studies
Hand Strength
Humans
Male
Occupations
Range of Motion, Articular
Retrospective Studies
Return to Work
Wrist

Figure

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  Fig. 1 Case 1. Post-traumatic arthritis of the carpus was developed in a 38-year-old male patient who had fallen down. Proximal row carpectomy resulted in diminished wrist pain and a 45 degree flexion-15 degree extension motion arc. (A) Preoperative radiograph. (B) Postoperative radiograph. (C, D) Radiographs of the postoperative 3 year 6 months.

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  Fig. 2 Case 2. Radiographs of a 48-year-old male patient with an old neglected perilunate dislocation. (A, B) Preoperative radiographs show dorsal perilunate dislocation. (C, D) Radiographs of the postoperative 1 year 6 months.

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