Universität zu Köln

Spies, C. K., Hohendorff, B., Mueller, L. P., Neiss, W. F., Hahn, P. and Unglaub, F. (2016). Proximal carpal row carpectomy. Oper. Orthopade Traumatol., 28 (3). S. 204 - 218. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

Resection of the proximal carpal row, termed proximal row carpectomy (PRC), is performed in order to treat pathologies of the proximal carpal row or radiocarpal joint between the scaphoid and scaphoid facet. It entails the articulation of the capitate and the lunate facet. Lunate necrosis, carpal collapse, joint infection with concomitant intercarpal ligament lesions. Severe cartilage lesions of the lunate facet and the capitate, wrist capsule laxity, rheumatoid arthritis, neuromuscular dysbalance of the wrist-covering soft tissue structures. Dorsal approach to the wrist, incision of the third and fourth extensor compartments, resection and coagulation of the dorsal interosseous nerve, usage of a ligament-sparing capsule incision, identification of the proximal carpal row and inspection of cartilage of the lunate facet and capitate, mobilization and excision of the lunate, scaphoid and triquetrum, articulation of lunate facet and capitate is controlled clinically and fluoroscopically, wound closure, application of plaster slabs. Immobilization of the wrist on plaster slabs for 2 weeks, removal of sutures after 14 days. PRC is a surgical procedure with few complications. Satisfactory range of motion and grip strength could be preserved without limiting function of the upper extremity. Postoperative osteoarthritis of capitate and lunate facet did not correlate with the good clinical outcome.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hohendorff, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neiss, W. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-273533
DOI:	10.1007/s00064-016-0440-1
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	28
Number:	3
Page Range:	S. 204 - 218
Date:	2016
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language KIENBOCKS-DISEASE; WRIST Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27353