Orthopaedic Proceedure

Proximal Row Carpectomy

A procedure to remove the proximal row of carpal bones to relieve pain and improve wrist function in cases of severe arthritis or injury.

How is the procedure performed

The surgeon performs the procedure through an open incision in the wrist, removing the proximal row of carpal bones and possibly performing additional procedures to stabilize the wrist. The operation usually lasts 1-2 hours.

Procedure Preparation

Preparation involves fasting before surgery, avoiding certain medications, and arranging for transportation home. Patients should follow specific preoperative instructions provided by their surgeon.

Recovery

Post-surgery, patients will need to manage pain, wear a cast or brace, and engage in physical therapy. Recovery can take several months, with gradual improvement in wrist function and strength.

Rehab Protocol

Rehabilitation focuses on regaining wrist function and strength through targeted exercises. Regular physical therapy sessions are crucial for optimal recovery and adapting to the changes in wrist structure.

Risks and Complications

Risks include infection, joint stiffness, and complications related to anesthesia. Some patients may experience persistent pain or altered wrist function.

Outcomes

The procedure aims to relieve pain and improve wrist function by removing damaged bones, with most patients experiencing significant symptom relief and functional improvement.

Conclusion

Proximal row carpectomy can be an effective solution for severe wrist pain and dysfunction. Following a structured rehabilitation programme is key to achieving the best results.