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KMID : 0361620080430040473
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Journal of the Korean Orthopaedic Association
2008 Volume.43 No. 4 p.473 ~ p.478
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The Efficacy of Proximal Row Carpectomy
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Chung Duke-Whan
Han Chung-Soo
Hwang Jung-Chul
Son Eun-Seok
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Abstract
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Purpose:To evaluate the effects of proximal row carpectomy.
Material and Methods :We performed a retrospective review of the cases of 14 patients who had undergone proximal row carpectomy between April 1996 and January 2006. All of the patients were men with an average age of 37.5 years (range, 25-64 years). The mean follow-up period was 59 months (range, 18-101months). Evaluation of results was based on x-ray analysis, pain relief, the ability to return to work, activity level, range of motion (ROM) and grip strength. Pain relief was classified as very satisfied, satisfied, dissatisfied and very dissatisfied.
Results: The subjective results of pain relief were very satisfied in 6 cases, satisfied in 7 cases, dissatisfied in 1 case. 7 cases (50%) returned to previous occupations and 11 cases (79%) had little restriction on their daily activities. The total arc was improved from average 42 degree to 59 degree. The grip strength using Jamar dynanometer was increased from average 7.8 lbs (10.5% of the unaffected side) to average 33 lbs (44% of the unaffected side).
Conclusion: Proximal row carpectomy is an effective surgery with preserving ROM and function for patients with wrist pain and diminished function if it is done within proper indication.
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KEYWORD
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Wrist, Proximal row, Proximal row carpectomy
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