Richard G. Eaton, M.D.

The partial capitate resection modification of the proximal row carpectomy (PRC) has evolved over two decades. In a recent series, orthopaedic surgeons at Roosevelt Hospital in New York have found that satisfactory motion and relief of pain can be obtained when a PRC includes partial resection of the capitate, even in the presence of normal cartilage. Therefore, X-ray findings of degenerative changes at the lunocapitate and radiolunate joint need not contraindicate a PRC. By creating a simple broad pseudarthrosis between the radius and the distal carpal row, a functional, generally pain-free wrist pseudarthrosis can be achieved.

In this VJO segment, Dr. Eaton demonstrates the modified PRC, discussing the surgical technique and its implications. He says that this modified PRC procedure has yielded fewer complications than wrist or intercarpal arthrodesis, and should be considered when both symptomatic radiocarpal and intercarpal arthritis are present.

References
1. Salomon GD, Eaton RG Proximal row carpectomy with partial capitate resection J Hand Surg 1996;21A:2-8
2. Tomaino MM, Miller RJ, Cole I, Burton RI Scapholunate advanced collapse wrist: proximal row carpectomy or limited wrist arthrodesis with scaphoid excision? J Hand Surg 1994;19A:134-192
3. Krakauer J.D., Bishop AT, Cooney WP Surgical treatment of scapholunate advanced collapse J Hand Surg 1994; 19A:751-759
4. Ashmead D IV, Watson HK, Damon C, Herber S, Paly W Scapholunate advanced collapse wrist salvage J Hand Surg 1994;19A:741-750

• Total Run Time: 13:02 minutes
• Catalog Number: 3013
• Publication Date: March 1998

• DVD/iPod: $95.00
• VHS (NTSC): $95.00
• VHS (PAL): $95.00