title: Proximal row carpectomy with allograft scaffold interposition arthroplasty.
abstract: The authors present a solution for motion preservation in severe wrist arthritis with intercarpal involvement. Acellular dermal allograft is used as an interposition arthroplasty in these situations, rather than local tissue flaps such as previously described. Proximal row carpectomy has been shown to be one of the most successful procedures to correct chronic destructive arthritis in the wrist, keeping useful motion. Traditionally, a contraindication for proximal row carpectomy includes an arthritis that invades the lunate-capitate joint. The authors describe a technique to extend the traditional indications by covering the eroded articular surfaces with dermal allograft scaffold.
authors: Carneiro Institute for Hand Surgery, Physicians Regional Medical Center, Naples, FL 34114, USA. carneirohand@gmail.com
authors: Ronaldo dos Santos
authors: Rdos S
authors: Carneiro
authors: Carlos Eduardo Baião Nogueira Maia
authors: CE
authors: Dias
authors: Carolina Moutinho Peneda Morais
authors: CM
authors: Baptista
mesh_terms: D000368:Aged; D002348:Carpal Bones / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D054457:Tissue Scaffolds; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology / Q000601:surgery*