TechniquesResurfacing Capitate Pyrocarbon Implant Without Capitate Pole Resection to Improve Clinical Results in the Treatment of Chronic Wrist ArthritisRocchi, Lorenzo MD, PhD*; Fulchignoni, Camillo MD*; Marcuzzi, Augusto MD† Author Information *Hand Surgery and Orthopedics Unit, Department of Orthopaedics and Traumatology, University Hospital A. Gemelli IRCCS, Rome †Department of Hand Surgery, Modena University Hospital, Modena, Italy Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. Address correspondence and reprint requests to Camillo Fulchignoni, MD, Via G Dandini, 15 00154 Rome, Italy. E-mail: [email protected]. Techniques in Hand & Upper Extremity Surgery: December 2021 - Volume 25 - Issue 4 - p 213-218 doi: 10.1097/BTH.0000000000000335 Buy Metrics Abstract Proximal row carpectomy (PRC) is a long-time, well-accepted, easy-to-reproduce procedure for the treatment of several painful degenerative conditions of the wrist, when capitate pole and radius lunate fossa are preserved. It has been reported to relieve pain and preserve a substantial wrist range of motion, although a partial loss of strength has to be expected because of the decreased length of the carpus. Since 2010, a new technique has been described in the literature using the resurfacing capitate pyrocarbon implant, combined with PRC. This implant has been designed to perform PRC even in the presence of degenerate joint surfaces, and thus resolves the limited indications of this procedure; however, if a resection of the capitate pole is performed to set up the implant, similar to PRC it may not positively influence the recovery of strength. The authors propose an resurfacing capitate pyrocarbon implant technique without any capitate bone resection, to preserve as much as possible the carpus length and so to improve the functional recovery. The surgical technique, is described in detail and preliminary results are discussed. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.