J Wrist Surg 2012; 01(02): 141-148
DOI: 10.1055/s-0032-1329547
Special Focus Section: Motion Preserving Procedures of the Wrist
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Long-Term Outcomes of Proximal Row Carpectomy: A Systematic Review of the Literature

Harvey Chim
1   Department of Plastic Surgery, Case Western Reserve University, Cleveland, Ohio
,
Steven L. Moran
2   Department of Plastic Surgery and Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota
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Publikationsverlauf

Publikationsdatum:
19. Dezember 2012 (online)

Abstract

Purpose Proximal row carpectomy is a well-established technique for the management of wrist arthritis; however, patient selection and long-term durability of proximal row carpectomy is still a matter of controversy. Hence, we conducted a systematic review of the English literature to determine the best evidence on long-term outcomes following proximal row carpectomy.

Methods A MEDLINE search using the term “proximal row carpectomy” was performed. A total of 192 studies were identified. All studies with 10 or more years of follow-up were included in the review. Data extracted included patient demographics, indications for surgery, previous surgery, outcome assessment, and information on complications and failures.

Results A total of 147 patients from six studies met the inclusion criteria and were included in the study. The majority of patients were male and involved in manual labor. There was no significant difference between the preoperative and long-term postoperative motion. The weighted mean for postoperative grip strength was 68.4% compared with the contralateral side. Disabilities of the arm, shoulder, and hand; patient-rated wrist examination; and Mayo wrist scores were comparable to those reported for four-corner arthrodesis. There were 21 failures (14.3%) requiring re-operation. Failures were not associated with a specific preoperative diagnosis but distributed among patients with Kienböck disease, scaphoid nonunion advanced collapse, and scapholunate advanced collapse arthritis.

Conclusions This systematic review confirms the long-term durability of proximal row carpectomy when used for the treatment of wrist arthritis. Although radiocapitate arthritis develops over time in most patients, the clinical significance of this finding is undetermined and does not necessarily correlate with failure of proximal row carpectomy. Poorer long-term outcomes are likely to result in patients engaged in heavy manual labor, whereas better outcomes may be obtained in patients undergoing proximal row carpectomy for trauma or earlier-stage Kienböck disease.

 
  • References

  • 1 Crabbe WA. Excision of the proximal row of the carpus. J Bone Joint Surg Br 1964; 46: 708-711
  • 2 Green DP. Proximal row carpectomy. Hand Clin 1987; 3 (1) 163-168
  • 3 Culp RW, McGuigan FX, Turner MA, Lichtman DM, Osterman AL, McCarroll HR. Proximal row carpectomy: a multicenter study. J Hand Surg Am 1993; 18 (1) 19-25
  • 4 Baumeister S, Germann G, Dragu A, Tränkle M, Sauerbier M. Functional results after proximal row carpectomy (PRC) in patients with SNAC-/SLAC-wrist stage II. [in German]. Handchir Mikrochir Plast Chir 2005; 37 (2) 106-112
  • 5 Dacho AK, Baumeister S, Germann G, Sauerbier M. Comparison of proximal row carpectomy and midcarpal arthrodesis for the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist) in stage II. J Plast Reconstr Aesthet Surg 2008; 61 (10) 1210-1218
  • 6 Laulan J, Bacle G, de Bodman C , et al. The arthritic wrist. II—the degenerative wrist: indications for different surgical treatments. Orthop Traumatol Surg Res 2011; 97 (4, Suppl) S37-S41
  • 7 Mulford JS, Ceulemans LJ, Nam D, Axelrod TS. Proximal row carpectomy vs four corner fusion for scapholunate (Slac) or scaphoid nonunion advanced collapse (Snac) wrists: a systematic review of outcomes. J Hand Surg Eur Vol 2009; 34 (2) 256-263
  • 8 Ali MH, Rizzo M, Shin AY, Moran SL. Long-term outcomes of proximal row carpectomy: a minimum of 15-year follow-up. Hand (NY) 2012; 7: 72-78
  • 9 Croog AS, Stern PJ. Proximal row carpectomy for advanced Kienböck's disease: average 10-year follow-up. J Hand Surg Am 2008; 33 (7) 1122-1130
  • 10 DiDonna ML, Kiefhaber TR, Stern PJ. Proximal row carpectomy: study with a minimum of ten years of follow-up. J Bone Joint Surg Am 2004; 86-A (11) 2359-2365
  • 11 Jebson PJL, Hayes EP, Engber WD. Proximal row carpectomy: a minimum 10-year follow-up study. J Hand Surg Am 2003; 28 (4) 561-569
  • 12 Liu M, Zhou HT, Yang ZM, Huang FG, Pei FX, Xiang Z. Clinical evaluation of proximal row carpectomy revealed by follow-up for 10–29 years. Int Orthop 2009; 33 (5) 1315-1321
  • 13 Lumsden BC, Stone A, Engber WD. Treatment of advanced-stage Kienböck's disease with proximal row carpectomy: an average 15-year follow-up. J Hand Surg Am 2008; 33 (4) 493-502
  • 14 Hudak P, Amadio P, Bombardier C. The Upper Extremity Collaborative Group (UECG). Development of an upper extremity outcome measure: the DASH (disability of the arm, shoulder and hand). Am J Ind Med 1996; 29: 602-608
  • 15 Beaton DE, Wright JG, Katz JN. Upper Extremity Collaborative Group. Development of the QuickDASH: comparison of three item-reduction approaches. J Bone Joint Surg Am 2005; 87 (5) 1038-1046
  • 16 MacDermid JC, Tottenham V. Responsiveness of the disability of the arm, shoulder, and hand (DASH) and patient-rated wrist/hand evaluation (PRWHE) in evaluating change after hand therapy. J Hand Ther 2004; 17 (1) 18-23
  • 17 Cooney WP. Open reduction of distal radius fractures (indications, classifications and functional assessment). In: Cooney WP, Saffar P, , eds. Fractures of the Distal Radius. London: Martin Dunitz; 1995: 118-125
  • 18 Ryu JY, Cooney III WP, Askew LJ, An KN, Chao EY. Functional ranges of motion of the wrist joint. J Hand Surg Am 1991; 16 (3) 409-419
  • 19 Palmer AK, Werner FW, Murphy D, Glisson R. Functional wrist motion: a biomechanical study. J Hand Surg Am 1985; 10 (1) 39-46
  • 20 Dacho A, Grundel J, Holle G, Germann G, Sauerbier M. Long-term results of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-Wrist) and scapholunate advanced collapse (SLAC-Wrist). Ann Plast Surg 2006; 56 (2) 139-144
  • 21 Espinoza DP, Schertenleib P. Four-corner bone arthrodesis with dorsal rectangular plate: series and personal technique. J Hand Surg Eur Vol 2009; 34 (5) 609-613
  • 22 Merrell GA, McDermott EM, Weiss AP. Four-corner arthrodesis using a circular plate and distal radius bone grafting: a consecutive case series. J Hand Surg Am 2008; 33 (5) 635-642
  • 23 Nakamura R, Horii E, Watanabe K, Nakao E, Kato H, Tsunoda K. Proximal row carpectomy versus limited wrist arthrodesis for advanced Kienböck's disease. J Hand Surg [Br] 1998; 23 (6) 741-745
  • 24 Cohen MS, Kozin SH. Degenerative arthritis of the wrist: proximal row carpectomy versus scaphoid excision and four-corner arthrodesis. J Hand Surg Am 2001; 26 (1) 94-104
  • 25 Zhu YL, Xu YQ, Ding J, Li J, Chen B, Ouyang YF. Biomechanics of the wrist after proximal row carpectomy in cadavers. J Hand Surg Eur Vol 2010; 35 (1) 43-45
  • 26 Imbriglia JE. Proximal row carpectomy. Technique and long-term results. Atlas Hand Clin 2000; 5: 101-109
  • 27 Imbriglia JE, Broudy AS, Hagberg WC, McKernan D. Proximal row carpectomy: clinical evaluation. J Hand Surg Am 1990; 15 (3) 426-430
  • 28 Hawkins-Rivers S, Budoff JE, Ismaily SK, Noble PC, Haddad J. MRI study of the capitate, lunate, and lunate fossa with relevance to proximal row carpectomy. J Hand Surg Am 2008; 33 (6) 841-849
  • 29 Tang P, Gauvin J, Muriuki M, Pfaeffle JH, Imbriglia JE, Goitz RJ. Comparison of the “contact biomechanics” of the intact and proximal row carpectomy wrist. J Hand Surg Am 2009; 34 (4) 660-670
  • 30 Yazaki N, Burns ST, Morris RP, Andersen CR, Patterson RM, Viegas SF. Variations of capitate morphology in the wrist. J Hand Surg Am 2008; 33 (5) 660-666
  • 31 Bain GI, Watts AC. The outcome of scaphoid excision and four-corner arthrodesis for advanced carpal collapse at a minimum of ten years. J Hand Surg Am 2010; 35 (5) 719-725
  • 32 Mulford JS, Ceulemans LJ, Nam D, Axelrod TS. Proximal row carpectomy vs four corner fusion for scapholunate (Slac) or scaphoid nonunion advanced collapse (Snac) wrists: a systematic review of outcomes. J Hand Surg Eur Vol 2009; 34 (2) 256-263
  • 33 Diao E, Andrews A, Beall M. Proximal row carpectomy. Hand Clin 2005; 21 (4) 553-559