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  • Title: [Mid-term results after proximal row carpectomy and review of the literature].
    Author: Bultmann C, Meier M, Krimmer H.
    Journal: Handchir Mikrochir Plast Chir; 2005 Apr; 37(2):113-8. PubMed ID: 15877272.
    Abstract:
    PURPOSE: The aim of this study is to evaluate the results after proximal row carpectomy and to compare them with results in the literature. METHOD: Between 1994 and 2001, 37 patients underwent proximal row carpectomy. 30 patients were available for follow-up. In all cases the proximal row carpectomy was performed through a dorsal approach. Clinical parameters were evaluated by using the conventional wrist score (Krimmer score) as well as the DASH-score. RESULTS: Follow-up examination shows a range of motion (ROM) for wrist extension and flexion of 46 % of the contralateral side. ROM for ulnar and radial deviation is 42 % of the other side, ROM for pronation and supination is equal to the other side. Mean grip strength is determined to be 58 % of the contralateral side. 90 % of the patients are satisfied with the result of the operation. The Krimmer score amounts to 58 and the DASH score to 39 points. CONCLUSION: We consider proximal row carpectomy to be a good therapeutic option for lunate necrosis stage IIIB or IV or carpal collapse stage II (SNAC or SLAC wrist) with a concomitant lesion of extrinsic ligaments with ulnar translocation. Another indication is the acute, non-reconstructable or the chronic perilunar luxation with arthrosis.
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