[Emergency resection of the proximal carpal bones].
Nine cases of emergency proximal row carpectomy are analysed. In 3 cases, the resection was performed in the context of transcarpal amputation in which the bone shortening obtained by resection allowed revascularisation without a flap. The functional result was poor because of the severity of the initial lesion. In the other 6 cases, consisting of proximal row bone defects or so-called intreatable fracture-dislocations, the results in terms of pain, range of movement and strength were similar to those obtained with elective operations.
D000328:Adult; D000673:Amputation, Traumatic / Q000145:classification / Q000601:surgery*; D002348:Carpal Bones / Q000293:injuries*; D002648:Child; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000145:classification / Q000601:surgery*; D005602:France / Q000453:epidemiology; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000145:classification / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods / Q000592:standards*; D010149:Postoperative Pain / Q000453:epidemiology / Q000209:etiology; D016059:Range of Motion, Articular; D016896:Treatment Outcome
Résection de la première rangée des os du carpe en urgence.