Resection of the proximal row of the carpus. A review of 45 cases

Abstract

The authors present a review of 45 proximal carpectomies performed for various reasons between 1986 and 1995. The pre- and postoperative assessment was clinical and radiological, and the intra-operative analysis was based on the status of the cartilage of the radiolunate joint, and of the head of the capitate. Postoperative assessment was based on the biomechanical behaviour of the wrist after surgery. At the final follow-up, the authors noted that pain was improved in 90% and functional movement was preserved in 70% of patients. There was approximately 20% loss of strength when compared to the opposite hand.