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J Wrist Surg 2023; 12(01): 086-094
DOI: 10.1055/s-0042-1751013
Survey or Meta-Analysis

Proximal Row Carpectomy Modifications for Capitate Arthritis: A Systematic Review

Alexander C. Perry
1   Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
,
Courtney Wilkes
1   Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
,
Matthew W. T. Curran 
1   Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
,
Brandon J. Ball
1   Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
,
Michael J. Morhart
1   Division of Plastic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
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Abstract

Introduction Proximal row carpectomy (PRC) is a motion-sparing procedure for radiocarpal arthritis with reliable results. Traditionally, proximal capitate arthritis is a contraindication to PRC; however, PRC with modifications are proposed to circumvent this contraindication. PRC modifications can be broadly grouped into capitate resurfacing (CR) and capsular interposition (CI) procedures which could expand PRC indications. Our primary question was to characterize the outcomes achievable with various PRC modifications. Our secondary question was to determine which PRC modification was the optimal procedure when capitate arthritis was present.

Methods A systematic review was conducted to examine the outcomes of modified PRC procedures. Independent reviewers appraised multiple databases for PRC studies with modifications for capitate arthritis in adult patients (age >18 years) with a minimum of three cases and extractable outcomes. Modified PRC procedures included capsular/allograft interposition, resurfacing capitate pyrocarbon implants, and osteochondral grafting. Pertinent outcomes included patient demographics, range-of-motion, grip strength, patient-reported outcomes, and complications, including salvage rates.

Results Overall, 18 studies met the inclusion criteria—10 studies (n = 147) on CI and 8 studies on CR (n = 136). PRC with CI had the greatest flexion–extension arc and grip strength. Complications were marginally higher in the CR group (4%), while the CI group had a higher conversion to total wrist arthrodesis (10%).

Conclusion Techniques to address capitate arthritis center around resurfacing or soft tissue interposition. PRC modifications with CI produces better range-of-motion and grip strength but higher conversion to total wrist arthrodesis. Higher conversion rates may be attributable to longer follow-up periods in studies examining CI compared with CR.

Level of Evidence This is a Level III study.

Keywords

proximal row carpectomy - capitate arthritis - capsular interposition - RCPI


Publication History

Received: 17 September 2021

Accepted: 12 May 2022

Article published online:
11 July 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Laulan J, Marteau E, Bacle G. Wrist osteoarthritis. Orthop Traumatol Surg Res 2015; 101 (1, suppl): S1-S9
    CrossrefPubMedGoogle Scholar
  • 2 Stamm TT. Excision of the proximal row of the carpus. Proc R Soc Med 1944; 38 (02) 74-75
    PubMedGoogle Scholar
  • 3 Stack JK. End results of excision of the carpal bones. Arch Surg 1948; 57 (02) 245-252
    CrossrefPubMedGoogle Scholar
  • 4 Begley BW, Engber WD. Proximal row carpectomy in advanced Kienböck's disease. J Hand Surg Am 1994; 19 (06) 1016-1018
    CrossrefPubMedGoogle Scholar
  • 5 Rettig ME, Raskin KB. Long-term assessment of proximal row carpectomy for chronic perilunate dislocations. J Hand Surg Am 1999; 24 (06) 1231-1236
    CrossrefPubMedGoogle Scholar
  • 6 Imbriglia JE, Broudy AS, Hagberg WC, McKernan D. Proximal row carpectomy: clinical evaluation. J Hand Surg Am 1990; 15 (03) 426-430
    CrossrefPubMedGoogle Scholar
  • 7 Saltzman BM, Frank JM, Slikker W, Fernandez JJ, Cohen MS, Wysocki RW. Clinical outcomes of proximal row carpectomy versus four-corner arthrodesis for post-traumatic wrist arthropathy: a systematic review. J Hand Surg Eur Vol 2015; 40 (05) 450-457
    CrossrefPubMedGoogle Scholar
  • 8 Diao E, Andrews A, Beall M. Proximal row carpectomy. Hand Clin 2005; 21 (04) 553-559
    CrossrefPubMedGoogle Scholar
  • 9 Ashmead IV D, Watson HK, Damon C, Herber S, Paly W. Scapholunate advanced collapse wrist salvage. J Hand Surg Am 1994; 19 (05) 741-750
    CrossrefPubMedGoogle Scholar
  • 10 Green DP. Proximal row carpectomy. Hand Clin 1987; 3 (01) 163-168
    CrossrefPubMedGoogle Scholar
  • 11 Neviaser RJ. On resection of the proximal carpal row. Clin Orthop Relat Res 1986; (202) 12-15
    PubMedGoogle Scholar
  • 12 Tang P, Imbriglia JE. Osteochondral resurfacing (OCRPRC) for capitate chondrosis in proximal row carpectomy. J Hand Surg Am 2007; 32 (09) 1334-1342
    CrossrefPubMedGoogle Scholar
  • 13 Salomon GD, Eaton RG. Proximal row carpectomy with partial capitate resection. J Hand Surg Am 1996; 21 (01) 2-8
    CrossrefPubMedGoogle Scholar
  • 14 De Vitis R, Passiatore M, Cilli V. et al. Secondary wrist arthritis in active workers: does capitate pyrocarbon resurfacing (RCPI) improve proximal row carpectomy? A retrospective cohort study. J Hand Surg Asian Pac Vol 2021; 26 (04) 625-634
    CrossrefPubMedGoogle Scholar
  • 15 Ferrero M, di Summa PG, Giacalone F, Senesi L, Sapino G, Battiston B. Salvage of advanced carpal collapse: proximal row carpectomy with pyrocarbon resurfacing of the capitate versus four-corner arthrodesis. J Hand Surg Eur Vol 2020; 45 (07) 687-692
    CrossrefPubMedGoogle Scholar
  • 16 Giacalone F, di Summa PG, Fenoglio A. et al. Resurfacing capitate pyrocarbon implant versus proximal row carpectomy alone: a comparative study to evaluate the role of capitate prosthetic resurfacing in advanced carpal collapse. Plast Reconstr Surg 2017; 140 (05) 962-970
    CrossrefPubMedGoogle Scholar
  • 17 Marcuzzi A, Ozben H, Russomando A. The use of a pyrocarbon capitate resurfacing implant in chronic wrist disorders. J Hand Surg Eur Vol 2014; 39 (06) 611-618
    CrossrefPubMedGoogle Scholar
  • 18 Goubier JN, Vogels J, Teboul F. Capitate pyrocarbon prosthesis in radiocarpal osteoarthritis. Tech Hand Up Extrem Surg 2011; 15 (01) 28-31
    CrossrefPubMedGoogle Scholar
  • 19 Rocchi L, Fulchignoni C, Marcuzzi A. Resurfacing capitatepyrocarbon implant without capitate pole resection to improve clinical results in the treatment of chronic wrist arthritis. Tech Hand Up Extrem Surg 2021; 25 (04) 213-218
    CrossrefPubMedGoogle Scholar
  • 20 Dang J, Nydick J, Polikandriotis JA, Stone J. Proximal row carpectomy with capitate osteochondral autograft transplantation. Tech Hand Up Extrem Surg 2012; 16 (02) 67-71
    CrossrefPubMedGoogle Scholar
  • 21 Gaspar MP, Pham PP, Pankiw CD. et al. Mid-term outcomes of routine proximal row carpectomy compared with proximal row carpectomy with dorsal capsular interposition arthroplasty for the treatment of late-stage arthropathy of the wrist. Bone Joint J 2018; 100-B (02) 197-204
    CrossrefPubMedGoogle Scholar
  • 22 Kwon BC, Choi S-J, Shin J, Baek GH. Proximal row carpectomy with capsular interposition arthroplasty for advanced arthritis of the wrist. J Bone Joint Surg Br 2009; 91 (12) 1601-1606
    CrossrefPubMedGoogle Scholar
  • 23 Ali MH, Rizzo M, Shin AY, Moran SL. Long-term outcomes of proximal row carpectomy: a minimum of 15-year follow-up. Hand (N Y) 2012; 7 (01) 72-78
    CrossrefPubMedGoogle Scholar
  • 24 Chedal-Bornu B, Corcella D, Forli A, Moutet F, Bouyer M. Long-term outcomes of proximal row carpectomy: a series of 62 cases. Hand Surg Rehabil 2017; 36 (05) 355-362
    CrossrefPubMedGoogle Scholar
  • 25 Fukushima WY, de Moraes VY, Penteado FT, Faloppa F, Dos Santos JBG. Does dorsal capsule interposition improve the results of proximal row carpectomy in Kienböck's disease? One year randomized trial. SICOT J 2015; 1: 25
    CrossrefPubMedGoogle Scholar
  • 26 Pogliacomi F, Marenghi L, Corradi M, Pedrazzini A, Ceccarelli F. Proximal row carpectomy in the third millenium: is it still a valid indication?. Acta Biomed 2014; 85 (03) 243-251
    PubMedGoogle Scholar
  • 27 Steiner MM, Willsey MR, Werner FW, Harley BJ, Klein S, Setter KJ. Meniscal allograft interposition combined with proximal row carpectomy. J Wrist Surg 2017; 6 (01) 65-69
    Article in Thieme ConnectPubMedGoogle Scholar
  • 28 dos SantosCarneiro, Dias CEBNM, Baptista CMPM. Proximal row carpectomy with allograft scaffold interposition arthroplasty. Tech Hand Up Extrem Surg 2011; 15 (04) 253-256
    CrossrefPubMedGoogle Scholar
  • 29 Lee SJ, Rabinovich RV, Kim A. Proximal row carpectomy using decellularized dermal allograft: preliminary results. J Wrist Surg 2021; 10 (02) 116-122
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Bellemère P. Medium- and long-term outcomes for hand and wrist pyrocarbon implants. J Hand Surg Eur Vol 2019; 44 (09) 887-897
    CrossrefPubMedGoogle Scholar
  • 31 Bellemère P. Pyrocarbon implants for the hand and wrist. Hand Surg Rehabil 2018; 37 (03) 129-154
    CrossrefPubMedGoogle Scholar
  • 32 Gross AE. Cartilage resurfacing: filling defects. J Arthroplasty 2003; 18 (03, Suppl 1): 14-17
    CrossrefPubMedGoogle Scholar
  • 33 Culp RW, Bachoura A, Gelman SE, Jacoby SM. Proximal row carpectomy combined with wrist hemiarthroplasty. J Wrist Surg 2012; 1 (01) 39-46
    Article in Thieme ConnectPubMedGoogle Scholar
  • 34 Langer MF, Wieskötter B, Vordemvenne T, Surke C. Osteochondral reconstruction of the lunate fossa in proximal row carpectomy for Kienböck's disease early stage IV [in Romanian]. Handchir Mikrochir Plast Chir 2010; 42 (03) 212-215
    PubMedGoogle Scholar
  • 35 Chim H, Moran SL. Long-term outcomes of proximal row carpectomy: a systematic review of the literature. J Wrist Surg 2012; 1 (02) 141-148
    Article in Thieme ConnectPubMedGoogle Scholar
  • 36 van Hernen JJ, Lans J, Garg R, Eberlin KR, Chen NC. Factors associated with reoperation and conversion to wrist fusion after proximal row carpectomy or 4-corner arthrodesis. J Hand Surg Am 2020; 45 (02) 85-94 .e2
    CrossrefPubMedGoogle Scholar
  • 37 Singh HP, Brinkhorst ME, Dias JJ, Moojen T, Hovius S, Bhowal B. Dynamic assessment of wrist after proximal row carpectomy and 4-corner fusion. J Hand Surg Am 2014; 39 (12) 2424-2433
    CrossrefPubMedGoogle Scholar
  • 38 Mulford JS, Ceulemans LJ, Nam D, Axelrod TS. Proximal row carpectomy vs four corner fusion for scapholunate (Slac) or scaphoid nonunion advanced collapse (Snac) wrists: a systematic review of outcomes. J Hand Surg Eur Vol 2009; 34 (02) 256-263
    CrossrefPubMedGoogle Scholar
  • 39 Brinkhorst ME, Singh HP, Dias JJ, Feitz R, Hovius SER. Comparison of activities of daily living after proximal row carpectomy or wrist four-corner fusion. J Hand Surg Eur Vol 2017; 42 (01) 57-62
    CrossrefPubMedGoogle Scholar
  • 40 Garcia BN, Lu C-C, Stephens AR. et al. Risk of total wrist arthrodesis or reoperation following 4-corner arthrodesis or proximal row carpectomy for stage-II SLAC/SNAC arthritis: a propensity score analysis of 502 wrists. J Bone Joint Surg Am 2020; 102 (12) 1050-1058
    CrossrefPubMedGoogle Scholar
  • 41 Rahgozar P, Zhong L, Chung KC. A comparative analysis of resource utilization between proximal row carpectomy and partial wrist fusion: a population study. J Hand Surg Am 2017; 42 (10) 773-780
    CrossrefPubMedGoogle Scholar
  • 42 Daar DA, Shah A, Mirrer JT, Thanik V, Hacquebord J. Proximal row carpectomy versus four-corner arthrodesis for the treatment of scapholunate advanced collapse/scaphoid nonunion advanced collapse wrist: a cost-utility analysis. Plast Reconstr Surg 2019; 143 (05) 1432-1445
    CrossrefPubMedGoogle Scholar
  • 43 Kazmers NH, Stephens AR, Presson AP, Xu Y, Feller RJ, Tyser AR. Comparison of direct surgical costs for proximal row carpectomy and four-corner arthrodesis. J Wrist Surg 2019; 8 (01) 66-71
    Article in Thieme ConnectPubMedGoogle Scholar
  • 44 Croog AS, Stern PJ. Proximal row carpectomy for advanced Kienböck's disease: average 10-year follow-up. J Hand Surg Am 2008; 33 (07) 1122-1130
    CrossrefPubMedGoogle Scholar
  • 45 Tomaino MM, Delsignore J, Burton RI. Long-term results following proximal row carpectomy. J Hand Surg Am 1994; 19 (04) 694-703
    CrossrefPubMedGoogle Scholar
  • 46 Lumsden BC, Stone A, Engber WD. Treatment of advanced-stage Kienböck's disease with proximal row carpectomy: an average 15-year follow-up. J Hand Surg Am 2008; 33 (04) 493-502
    CrossrefPubMedGoogle Scholar
  • 47 Gainer MA, Riano F, Sotereanos DG. Is proximal row carpectomy a good operation for Kienbock's disease?. Curr Opin Orthop 2001; 12 (04) 276-279
    CrossrefPubMedGoogle Scholar
  • 48 Storey PA, Goddard M, Clegg C, Birks ME, Bostock SH. Pyrocarbon proximal interphalangeal joint arthroplasty: a medium to long term follow-up of a single surgeon series. J Hand Surg Eur Vol 2015; 40 (09) 952-956
    CrossrefPubMedGoogle Scholar
  • 49 Dickson DR, Nuttall D, Watts AC, Talwalkar SC, Hayton M, Trail IA. Pyrocarbon proximal interphalangeal joint arthroplasty: minimum five-year follow-up. J Hand Surg Am 2015; 40 (11) 2142-2148.e4
    CrossrefPubMedGoogle Scholar