title: [Proximal carpal row carpectomy].
abstract: OBJECTIVE
  Resection of the proximal carpal row, termed proximal row carpectomy (PRC), is performed in order to treat pathologies of the proximal carpal row or radiocarpal joint between the scaphoid and scaphoid facet. It entails the articulation of the capitate and the lunate facet.
  
  
  METHODS
  Lunate necrosis, carpal collapse, joint infection with concomitant intercarpal ligament lesions.
  
  
  METHODS
  Severe cartilage lesions of the lunate facet and the capitate, wrist capsule laxity, rheumatoid arthritis, neuromuscular dysbalance of the wrist-covering soft tissue structures.
  
  
  METHODS
  Dorsal approach to the wrist, incision of the third and fourth extensor compartments, resection and coagulation of the dorsal interosseous nerve, usage of a ligament-sparing capsule incision, identification of the proximal carpal row and inspection of cartilage of the lunate facet and capitate, mobilization and excision of the lunate, scaphoid and triquetrum, articulation of lunate facet and capitate is controlled clinically and fluoroscopically, wound closure, application of plaster slabs.
  
  
  METHODS
  Immobilization of the wrist on plaster slabs for 2 weeks, removal of sutures after 14 days.
  
  
  RESULTS
  PRC is a surgical procedure with few complications. Satisfactory range of motion and grip strength could be preserved without limiting function of the upper extremity. Postoperative osteoarthritis of capitate and lunate facet did not correlate with the good clinical outcome.
authors.affiliation: Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland. christianspies27@gmail.com.
authors.forename: C K
authors.initials: CK
authors.lastname: Spies
authors.affiliation: Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Stade, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Hohendorff
authors.affiliation: Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Köln, Köln, Deutschland.
authors.forename: L P
authors.initials: LP
authors.lastname: Müller
authors.affiliation: Institut I für Anatomie, Medizinische Fakultät, Köln, Deutschland.
authors.forename: W F
authors.initials: WF
authors.lastname: Neiss
authors.affiliation: Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Hahn
authors.affiliation: Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.|Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Unglaub
mesh_terms: D000368:Aged; D001168:Arthritis / Q000175:diagnosis* / Q000601:surgery*; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Arthroplasty; Osteoarthritis; Resection; Upper extremity; Wrist