[Proximal row carpectomy: a 'salvage' procedure for radio-carpal arthritis of the wrist].
In 4 patients, a woman aged 46 years, and 3 men aged 58, 28 and 60 years, respectively, a proximal row carpectomy was done for pain and loss of function due to scapho-lunate dissociation, scaphoid nonunion, Kienböck's disease and scapho-lunate advanced collapse wrist deformity (bilateral). Pain relief was achieved post-operatively in all patients, allowing patients to return to their previous work and activities. Proximal row carpectomy involves the removal of the os scaphoideum, the os lunatum and the os triquetrum. This improves wrist extension and ulnar deviation. Intensive postoperative treatment is essential to achieve good mobility and strength.
Nagelvoort
R W
RW
Universitair Medisch Centrum Utrecht, afd. Plastische, Reconstructieve en Handchirurgie, Heidelberglaan 100, 3584 CX Utrecht.
Kon
M
M
Schuurman
A H
AH
D000328:Adult; D000368:Aged; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D010007:Osteochondritis / Q000150:complications; D010489:Periarthritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000150:complications*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*