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Techniques in Hand & Upper Extremity Surgery:
doi: 10.1097/BTH.0b013e318220e0b6
Techniques

Proximal Row Carpectomy With Allograft Scaffold Interposition Arthroplasty

Carneiro, Ronaldo dos Santos MD*; Dias, Carlos Eduardo Baião Nogueira Maia MD; Baptista, Carolina Moutinho Peneda Morais MD

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Abstract

The authors present a solution for motion preservation in severe wrist arthritis with intercarpal involvement. Acellular dermal allograft is used as an interposition arthroplasty in these situations, rather than local tissue flaps such as previously described. Proximal row carpectomy has been shown to be one of the most successful procedures to correct chronic destructive arthritis in the wrist, keeping useful motion. Traditionally, a contraindication for proximal row carpectomy includes an arthritis that invades the lunate-capitate joint. The authors describe a technique to extend the traditional indications by covering the eroded articular surfaces with dermal allograft scaffold.

© 2011 Lippincott Williams & Wilkins, Inc.

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