Proximal row carpectomy with partial capitate resection

Salomon, Gary D.; Eaton, Richard G.

doi:10.1016/s0363-5023(96)80147-x

Cited by 67 publications

(42 citation statements)

References 18 publications

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“…hinge-plus-rotation motion [5,6], which may reduce the distal loading upon the radius and thereby relieve pain to some extent. Salomon and Eaton [7] and DiDonna et al [8] reported that symptomatic degeneration did not necessarily occurr in the radiocarpal joint after proximal row carpectomy. Inglis and Jones [9] followed up eight cases and observed absence of apparent radiocarpal degeneration as long as 37 years after the procedure.…”

Section: Discussionmentioning

confidence: 98%

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Liu

Zhou

Yang

et al. 2009

International Orthopaedics (SICOT)

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To investigate the long-term clinical results of proximal row carpectomy for treating chronic wrist injuries, we collected the postoperative results of ten patients who underwent this procedure between 1978 and 1996. The evaluation was based on Gartland and Werley and modified Green and O'Brien scoring systems. The follow-up ranged from ten to 29 years. Nine patients could perform daily activities properly, two experienced occasional pain and one moderate pain. Eight patients were rated as excellent, two were good, while none was fair or poor by the former scoring system. Seven patients were rated as good, three were fair and none was excellent or poor by the latter scoring system. No apparent degenerative change was found in the radiocapitate joints apart from a slight change in one patient. The operation is a dependable and durable procedure that results in satisfactory pain relief, improved functional wrist motion and grip strength, allowing most patients to resume their previous work.

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Section: Discussionmentioning

confidence: 98%

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Liu

Zhou

Yang

et al. 2009

International Orthopaedics (SICOT)

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“…21 Salomon and Eaton reviewed 12 patients who had undergone PRC with partial resection of the capitate. 10 Ten patients had degenerative arthritis secondary to SLAC deformity or chronic scaphoid nonunion. Seven of these patients had significant lunocapitate, and three had radiolunate, degenerative disease.…”

Section: Discussionmentioning

confidence: 99%

“…4 In an effort to provide a broader interface to distribute radiocarpal compressive forces more evenly, Salomon and Eaton recommended resecting the proximal capitate regardless of arthritis or pristine cartilage, with or without placement of a capsular interposition. 10 Their approach obviated any regard for the status of the capitate cartilage. Our approach respects cartilage and seeks to improve the status of the capitate cartilage if there is a focal defect.…”

mentioning

confidence: 99%

Technique: Osteochondral Grafting of Capitate Chondrosis in PRC

Tang

Imbriglia

2013

Jnl Wrist Surg

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Proximal row carpectomy (PRC) has been shown in multiple studies to be an effective motion-preserving procedure for wrist arthritis. The operation consists of resection of the scaphoid, lunate, and triquetrum. 1 The proximal capitate and lunate fossa of the radius form the new wrist articulation, which makes the ideal patient free of degenerative changes at those articular surfaces. 2-8 Various authors, as well as the senior author, have maintained that when there is mild degeneration of these articular surfaces, PRC can still provide good to excellent results. [2][3][4][5][6]9 However, as wrist arthritis progresses, as in stage III scapholunate advanced collapse (SLAC) wrist or stage II/III scaphoid nonunion advanced collapse (SNAC) wrist, the proximal capitate becomes arthritic. With advanced degeneration, alternative surgical procedures include scaphoid excision, four-bone fusion, and wrist fusion. However, there Keywords ► osteochondral graft ► proximal row carpectomy AbstractBackground Proximal row carpectomy (PRC) is a useful treatment option for wrist arthritis, but the operation is contraindicated when there is arthritis of the capitate head. We describe a technique that involves resurfacing of a capitate that has focal chondrosis, using an osteochondral graft harvested from the resected carpal bones. Materials and Methods PRC patients who had a focal area of capitate chondrosis underwent osteochondral grafting of the capitate. Pre-and postoperative pain level, employment status, motion, grip strength, and Modified Mayo Wrist Scores (MMWS) were assessed. Postoperative Disability of the Arm, Shoulder, and Hand (DASH) scores were also calculated.

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“…The belief was that this technique dispersed contact stresses over a wider area, since the resected proximal capitate and hamate created a more uniform presenting surface to the distal radius for the pseudarthrosis [50]. In a similar technique, Placzek et al reviewed the results of 8 patients with stage II and III SLAC wrist treated with a capitate head resection and dorsal capsular interposition.…”

Section: Prc In Stage III Slac/snac Wristmentioning

confidence: 99%

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

Shah

Stern

2013

Curr Rev Musculoskelet Med

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Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are the two most common patterns of posttraumatic wrist arthritis. This review discusses the etiology and clinical evaluation, as well as up-to-date treatment options, for both of these conditions. Classic as well as newer innovative techniques are discussed with clinical outcomes in order to provide an evidence-based review of the world's literature on SLAC/SNAC wrist.

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Proximal row carpectomy with partial capitate resection

Cited by 67 publications

References 18 publications

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years

Technique: Osteochondral Grafting of Capitate Chondrosis in PRC

Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

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