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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

Techniques in Hand & Upper Extremity Surgery: December 2011 - Volume 15 - Issue 4 - p 253–256
doi: 10.1097/BTH.0b013e318220e0b6

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).

Address correspondence and reprint request to Ronaldo dos Santos Carneiro, MD, Regional Medical Arts Building, 8340 Collier Blvd, Suite 303, Naples, FL 34114. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.