Proximal row carpectomy in emergency

Della Santa, DR; Sennwald, GR; Mathys, L; Glauser, T; Fusetti, C; Beaulieu, JY (2010). Proximal row carpectomy in emergency. Chirurgie de la main, 29(4), pp. 224-30. Paris: Elsevier Masson SAS 10.1016/j.main.2010.06.001

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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.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Mathys, Lukas




Elsevier Masson SAS




Factscience Import

Date Deposited:

04 Oct 2013 14:13

Last Modified:

05 Dec 2022 14:02

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URI: (FactScience: 205602)

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