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Proximal row carpectomy in emergency

Della Santa, D. R.
Sennwald, G. R.
Mathys, L.
Glauser, T.
Published in Chirurgie de la main. 2010, vol. 29, no. 4, p. 224-230
Abstract Proximal row carpectomy (PRC) is a well-accepted procedure for the treatment of early post-traumatic degenerative disease of the wrist. Much less frequently, PRC has been advocated as an emergency procedure for irreparable fracture-dislocation of the wrist. Our objective was to compare the results of PRC in patients having undergone this procedure in the two contexts. We conducted a retrospective analysis of the clinical and radiographic results of six patients treated by emergency PRC as compared to six patients who underwent elective PRC. The mean follow-up was 36 months. Both the patient's satisfaction and the grasp of the wrist joint were significantly better in patients who underwent PRC emergency as compared to those having undergone elective PRC. Quick DASH score, radiographic results, and return to work were also more favourable in these patients, but the difference between the two groups was not significant. This study confirms that PRC is a valuable salvage technique indicated in early posttraumatic wrist collapse. Moreover, when performed in emergency, the procedure shows even better subjective and objective results, allowing a majority of patients to return to their previous job.
Keywords AdultCarpal Bones/*injuries/radiography/*surgeryEarly DiagnosisFemaleFollow-Up StudiesHumansMaleMiddle AgedOrthopedic Procedures/methodsOsteoarthritis/diagnosis/*etiology/*surgeryPatient SatisfactionRange of Motion, ArticularRecovery of FunctionRetrospective StudiesSurgical Procedures, Elective*Trauma CentersTreatment Outcome
PMID: 20739210
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Other version: http://www.sciencedirect.com/science/journal/12973203
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DELLA SANTA, D. R. et al. Proximal row carpectomy in emergency. In: Chirurgie de la main, 2010, vol. 29, n° 4, p. 224-230. https://archive-ouverte.unige.ch/unige:20890

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Deposited on : 2012-05-23

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