Stage II is defined as advancing arthrosis to the proximal scaphoid and the treatment options include a four-corner fusion or a proximal row carpectomy
Roth, "Simultaneous proximal row carpectomy
and radius to distal carpal row arthrodesis," Journal of Hand Surgery, vol.
A proximal row carpectomy
and a three-corner fusion were discussed as salvage procedures in the acute setting.
Lissy holds an inventor patent for the Stackable Cage System for carpectomy
Another procedure is proximal row carpectomy
, in which the row of arthritic wrist bones closest to the forearm is removed.
But in mature malunion, i.e., presenting after 6 weeks, the fracture is consolidated, bony union is achieved and original fracture line is difficult to recreate, hence the treatment of these malunions is intra-articular osteotomies particularly in young, active individuals or the salvage procedures (limited carpal arthrodesis, total wrist arthrodesis, proximal row carpectomy
, wrist denervation, and wrist arthroplasty) for individual with severe cartilage degeneration, low functionl demand and elderly.
In advanced stages of kienbocks disease salvage surgeries like lunate replacement, lunate excision, proximal row carpectomy
, limited carpal fusion, and wrist fusion has been described without any strong evidence supporting any one procedure.
Stern, "Proximal row carpectomy
: study with a minimum of ten years of follow-up," Journal of Bone and Joint Surgery--Series A, vol.
Some of the more common operations are limited carpal fusions [2-4] resection arthroplasty and prosthetic replacement with various materials like tendon, fascia, silicone, pyrocarbon prosthesis, and so forth [5-9], joint levelling procedures [10,11], lunate revascularization [12-14], and proximal row carpectomy
(23) Interventions included radial osteotomy, vascularized bone graft, carpectomy
, and total wrist athrodesis.
During his stay in hospital he underwent a string of operations, including facial reconstruction, an operation to insert eight metal plates into his forehead, and a carpectomy
, in which three bones were removed from his broken wrist to allow him to partially use it again.
Two common operations for wrist arthritis are intercarpal fusion (a partial fusion of the small wrist bones) and proximal row carpectomy
, or PRC (removal of the first row of carpal bones).