Proximal row carpectomy and intercarpal arthrodesis for the management of wrist arthritis.
For advanced noninflammatory wrist arthritis, the most common surgical treatments to preserve motion are proximal row carpectomy and scaphoid excision with capitohamate-lunotriquetral arthrodesis. Both procedures have documented successful outcomes. Proximal row carpectomy is simpler but typically is contraindicated when degeneration of the capitate head cartilage exists. Scaphoid excision with capitohamate-lunotriquetral arthrodesis is more complex but may provide greater grip strength and can be successful in the presence of capitate degeneration. Treatment selection should be based on surgeon preference and experience as well as on the patient's understanding of the possible complications and benefits of each procedure.
Wyrick
John D
JD
Department of Orthopaedic Surgery. Division of Upper Extremity Surgery. Division of Orthopaedic Trauma, University of Cincinnati, Cincinnati, OH 45267-0212, USA.
D001168:Arthritis / Q000150:complications* / Q000000981:diagnostic imaging; D001174:Arthrodesis / Q000379:methods*; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012667:Lunate Bone / Q000601:surgery; D008297:Male; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D021361:Scaphoid Bone / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014955:Wrist Joint