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Capitate Pyrocarbon Prosthesis in Radiocarpal Osteoarthritis

Goubier, Jean-Noël PhD; Vogels, Jérome MD; Teboul, Frédéric MD

Techniques in Hand & Upper Extremity Surgery: March 2011 - Volume 15 - Issue 1 - p 28–31
doi: 10.1097/BTH.0b013e3181ebe3c3
Techniques
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Scapholunate dissociation or scaphoid pseudarthrosis may lead to osteoarthritis of the wrist. When osteoarthritis affects the midcarpal joint, proximal row carpectomy is no longer possible and only 4 corners fusion or capitolunate arthrodesis may be indicated. However, in some cases, osteoarthritis or bone necrosis may involve the lunatum, making partial arthrodeses impossible. Total arthrodesis may be proposed in such cases, but with a loss of range-of-motion. Total prosthesis may be considered but the results of this procedure are not always encouraging. Consequently, in these situations, we perform pyrocarbon prosthesis implant, replacing the head of the capitatum. This article describes the procedure and the results of a preliminary study.

International Centre of Hand Surgery, Paris, France

Address correspondence and reprint requests to Jean-Noël Goubier, PhD, International Centre of Hand Surgery, 92 Bd de Courcelles, 75017 Paris, France. e-mail: jngoubier@gmail.com.

© 2011 Lippincott Williams & Wilkins, Inc.