medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2019, Number 5

<< Back Next >>

Acta Ortop Mex 2019; 33 (5)

Proximal row carpectomy in patient with wrist osteoarthritis

Díaz-López JJ, Vázquez-Alonso MF, Tovar-Beltrán O

Language: Spanish
References: 15
Page: 273-276
PDF size: 117.67 Kb.


ABSTRACT

The arthrosis of the wrist is a degenerative, traumatic or idiopathic process, which cause problem for patient characterized by pain, loss of mobility, swelling and deformity of the affected wrist. A surgical alternative is proximal row carpectomy, which consists of resection of the lunate, scaphoid and triquetrum, forming a new joint between the radius and the distal row carpus. Material and methods: Observational, descriptive, case series. 15 patients were evaluated who underwent proximal row carpectomy during the period January 2007-August 2009, with clinical follow-up until august 2010 through mayo and DASH scores, measuring strength. Range of motion and pain. 80% of patients were between 35 and 64 years. The predominant sex was male in 67%. The result was satisfactory in 73%, according to the scale of Mayo. The DASH scale in the postoperative period also improves. Conclusions: The proximal carpectomy is a surgical alternative, it preserves some joint mobility, reduced pain and improved disability of the limb.


REFERENCES

  1. Calandruccio JH. Proximal row carpectomy. J Hand Surg Am. 2001; 2: 112-22.

  2. Cohen MS, Kozin SH. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four corner arthrodesis. J Hand Surg Am. 2001; 26: 94-104.

  3. Watson HK, Ballet FL. The SLAC writs: scapholunate collapse pattern of degenerative arthritis. J Hand Surg. 1984; 9A: 348-65.

  4. Hogan CJ, Mckay PL, Degnan GG. Changes in radiocarpal loading characteristics after a proximal row carpectomy. J Hand Surg Am. 2004; 29: 1109-13.

  5. Di Donna ML, Kierfhaber Tr, Sern PJ. Proximal row carpectomy: a study with a minimum of ten years of follow-up. J Bone Joint Surg Am. 2004; 86: 2359-65.

  6. Ferlic DC, Clayton ML, Mills MF. Proximal row carpectomy: review of rheumatoid and non rhematoid wrists. J Hand Surg Am. 1991; 16: 420-24.

  7. Lucchetti R, Soragni O, Fairplay T. Proximal row carpectomy throught a palmar approach. J Hand Surg Br. 1998; 23: 406-9.

  8. Stern PJ, Agabegi SS, Kiefhaberb TR, Diddona ML. Proximal row carpectomy: surgical technique. J Bone J Surg. 2005; 87: 166-74.

  9. Imbriglia J, Broudy A, Hegberg WC, Mckernan D. Proximal row carpectomy: clinical evaluation. J Han Surg. 1990; 1292-300.

  10. Oishi S, Muzaffar AR, Carter P. Treatment of Kienbock’s disease with capitohamate arthrodesis: pain relief with minimal morbidity. Plast Reconstr Surg. 2002; 109: 1292-300.

  11. Rios LA, Villanueva MM, Fahandezh-Saddi D. Is proximal row carpectomy a good operation for Kienböck disease? Patalogia del Aparato Locomotor. 2006; 4(Supl. 1): 58-63.

  12. Escribano RJ. Resección de la primera hilera proximal del carpo: indicaciones y resultados. Revista Española de Cirugía Osteoarticular. 2008; 234(44): 231-65.

  13. González CC, Carlos GB, Giraldo MM, Ramirez MJ, Felipe HT. Resultados funcionales de carpectomía proximal en estadios avanzados en paciente con enfermedad de Kienbock. Rev Col Or Tra. 2009; 23(1): 21-6.

  14. Jebson PJ, Hayes EP, Engber WD. Proximal row carpectomy: a minimum of 10 year follow-up study. J Hand Surg Am. 2003; 28: 561-69.

  15. Tang P, Imbriglia J. Osteochondral resurfacing for capitate chondrosis in proximal row carpectomy. J Hand Surg. 2007; 32A: 1334-42.




2020     |     www.medigraphic.com