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.
*Carneiro Institute for Hand Surgery, Physicians Regional Medical Center, Naples, FL
†Department of Orthopaedic Surgery, Hospital Distrital de Santarém
‡Department of Orthopaedic Surgery, Hospital Infante D.Pedro, Aveiro, Portugal
Conflicts of Interest: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this study from any of the following organizations: National Institutes of Health (NIH); Wellcome Trust; Howard Hughes Medical Institute (HHMI) or other(s).
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