Proximal row carpectomy associated with external fixation and biological arthroplasty: description of a case with severe arthritis following perilunar and transcaphoid dislocation

Carpectomia della prima filiera associata all’uso del fissato esterno e artroplastica biologica: descrizione di un caso con artrite severa secondaria a lussazione perilunata e transcafoidea

Sara Calori 1, Gianluca Falcone 1, Ezio Adriani 1, Silvia Pietramala 1, Floriana Di Salvo 1, Simone Giusti 2, Giulio Maccauro 1, Salvatore Falcone 3

1 Department of Othopedics and Traumatology, Catholic University of Rome, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; 2 Campus BioMedico University, Rome, Italy; 3 Clinica Villa Ulivella, Firenze, Italy

DOI 10.53239/2784-9651-2024-6

Proximal row carpectomy is a common procedure used in wrist arthritis; a prerequisite for its surgical indication is integrity of cartilage surface of the capitate head and lunate fossa. 

We describe a case where proximal row carpectomy and biological arthroplasty have been associated to the use of external fixation in a patient with severe radio and midcarpal arthritis with long-term satisfactory results. 

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