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KMID : 0621520070120020041
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Journal of the Korean Society for Surgery of the Hand
2007 Volume.12 No. 2 p.41 ~ p.49
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Proximal Row Carpectomy with or without Capsular Interposition
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Kwon Bong-Cheol
Choi Soo-Joong
Rhee Nam-Kyou
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Abstract
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Purpose: To report the short term results of proximal row carpectomy (PRC) with or without capsular interposition for the treatment of osteoarthritis of the wrist.
Materials and Methods: Between October 2003 and October 2004, 8 patients underwent proximal row carpectomy with or without capsular interposition. There were 6 males and 2 females. Average age was 47.8 years old. One patient under went proximal row carpectomy alone, one patient underwent arthroscopic proximal row carpectomy and six patients underwent proximal row carpectomy with capsular interposition. Capsular interposition was performed when the articular surface of proximal capitate or lunate fossa of distal radius showed grade 3 or 4 degeneration. Outcome measurement consisted of pain VAS, PRWE score, ROM and grip power before the surgery and at the final follow-up. Radiographic evaluation and the questionnaire about patient satisfaction and return to work were performed as well.
Results: With an average follow-up of 26.5 months, pain VAS at maximum was significantly reduced from 7.6 to 3.5 after surgery (p=0.035). Pain VAS at rest from 3.6 to 1.5 (p=0.007). PRWE score were significantly reduced after surgery (p=0.035). Grip power and range of motion except for flexion were not significantly changed (p>0.05).
Conclusion: PRC with or without capsular flap interposition is a reliable, pain relieving and function preserving procedure for the treatment of osteoarthritis of the wrist.
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KEYWORD
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Wrist, Osteoarthritis, Proximal row carpectomy, Capsular flap interposition
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