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Journal of Hand Surgery (European Volume)
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Articles

Proximal Row Carpectomy With or Without Postoperative Immobilisation

R. JACOBS
I. DEGREEF
L. DE SMET

From the University Hospital Leuven, Pellenberg, Belgium

Correspondence: Professor Luc De Smet, University Hospital Leuven, Pellenberg, Belgium. E-mail: Luc.desmet{at}uz.kuleuven.ac.be.

Previously published reports have shown good results after proximal row carpectomy in all cases that had a postoperative immobilisation period from 1 to 4 weeks. Immobilisation is thought to be necessary because of the risk of postoperative subluxation of the carpus and for pain relief. There is, however, no evidence of its value. The results in 13 patients who underwent proximal row carpectomy without postoperative immobilisation were compared with those in 25 patients who underwent proximal row carpectomy with postoperative immobilisation for 4 weeks. After a mean follow-up period of 27 months, no significant differences were found for pain, range of motion or return to work between the two groups. We conclude that postoperative immobilisation is not necessary after proximal row carpectomy.

Key Words: proximal row carpectomy • SLAC • Preiser • Kienböck • wrist • rehabilitation

This version was published on December 1, 2008

Journal of Hand Surgery (European Volume), Vol. 33, No. 6, 768-770 (2008)
DOI: 10.1177/1753193408092490
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