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J Wrist Surg
DOI: 10.1055/s-0044-1793846
Survey or Meta-Analysis

The Use of a Resurfacing Capitate Pyrocarbon Implant in Conjunction with a Proximal Row Carpectomy: A Systematic Review

Aaron Rooney 
1   Department of Trauma & Orthopaedics, Cambridge University Hospitals, Addenbrookes Hospital, Cambridge, United Kingdom
,
Lucy C. Maling 
1   Department of Trauma & Orthopaedics, Cambridge University Hospitals, Addenbrookes Hospital, Cambridge, United Kingdom
› Author Affiliations Funding None.
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Abstract

Degenerative wrist disease may have varying etiologies, but solutions to deal with this debilitating condition center around several common management pathways. Once nonoperative measures have been exhausted, generally there is a choice between motion sparing procedures or a total wrist arthrodesis. The appropriateness of motion sparing procedures will be dictated by the extent and pattern of degeneration, and midcarpal arthrosis is typically a contraindication to a proximal row carpectomy. One solution to this problem is to employ a Resurfacing Capitate Pyrocarbon Implant. This study aimed to investigate the prevalence and effectiveness of this operation by systematically reviewing the literature. The findings of this review support the use of this implant in the setting of degenerative wrist disease, with reported outcomes comparable to similar operations. However, this is based on overall low numbers of reported outcomes with a reasonable chance of bias.

Level of Evidence III.

Keywords

SNAC - SLAC - Kienböck's disease - midcarpal arthritis - capitate resurfacing

Ethical Approval

Ethical approval was not required for this systematic review of existing literature.


Informed Consent

Informed consent was not required for this systematic review of existing literature. No patient identifiable information was included.


Authors' Contributions

A.R. conceived the review and performed the literature search with the assistance of a librarian. Articles were reviewed by L.C.M. and A.R. L.C.M. was responsible for the first draft of the article and edited the article, and is the guarantor. Both authors approved the final version of the manuscript.




Publication History

Received: 05 April 2024

Accepted: 09 October 2024

Article published online:
08 November 2024

© 2024. Thieme. All rights reserved.

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