title: Outcome of two salvage procedures for posttraumatic osteoarthritis of the wrist: arthrodesis or proximal row carpectomy.
abstract: OBJECTIVE
  to compare a motion preserving procedure of the wrist with the wrist arthrodesis, the so-called gold standard in patients with posttraumatic wristpain.
  
  
  METHODS
  non randomized retrospective
  
  
  METHODS
  University Hospital--referral centre
  
  
  METHODS
  we studied two groups of patients with posttraumatic wrist pain due to osteoarthritis of the radiocarpal joint: one group of 35 patients underwent a radiocarpometacarpal arthrodesis, the other group of 26 patients a proximal row carpectomy (PRC). There were no significant differences in age and gender or hand dominance distribution.
  
  
  METHODS
  proximal row carpectomy versus radiocarpal arthrodesis.
  
  
  METHODS
  DASH (disability of arm, shoulder and hand) gripping force, return to activity, complications and reintervention frequence.
  
  
  RESULTS
  Disability (DASH score) and regaining professional activity was significantly better in the PRC group. There was no significant difference in gripping force between the PRC and the arthrodesis group. Complications were less numerous.
  
  
  CONCLUSIONS
  A mobility saving procedure as a PRC is preferable over an arthrodesis in patients with posttraumatic wrist osteoarthritis.
authors.affiliation: Department of Orthopaedic Surgery, UZ Pellenberg, Lubbeek, Belgium. luc.desmet@uz.kuleuven.ac.be
authors.forename: L
authors.initials: L
authors.lastname: De Smet
authors.forename: I
authors.initials: I
authors.lastname: Degreef
authors.forename: J
authors.initials: J
authors.lastname: Truyen
authors.forename: F
authors.initials: F
authors.lastname: Robijns
mesh_terms: D001174:Arthrodesis; D002348:Carpal Bones / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D017060:Patient Satisfaction; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D016879:Salvage Therapy / Q000379:methods*; D014954:Wrist Injuries / Q000150:complications* / Q000503:physiopathology; D014955:Wrist Joint / Q000601:surgery