Proximal Row Carpectomy

Postoperative Instructions

What conditions does a Proximal Row Carpectomy treat? 

• Osteoarthritis at the Wrist commonly caused by Kienbock's disease and SLAC wrist (Scaphoid Lunate Advanced Collapse)

General Timeline:

Surgery

• Immediately following surgery, your hand will be wrapped in a supportive dressing and will remain wrapped until you 2 week follow up with the provider 

2 week follow up visit with physician assistant

• Suture removal & X-ray
• Hard cast applied                                                          

6 week follow up visit with physician assistant

• X-ray
• Referral to therapy

• Custom wrist splint  

What to expect after surgery

• Discomfort lasting up to 6-9 months
• Use of a splint to protect the joint
• Referral to therapy 

What to expect with therapy

• Attendance 1-2 times per week as needed for 4-6 weeks.  
• You may use your hand for light activities as tolerated.

What to expect after the cast is removed

• Stiffness and/or swelling in the wrist for several weeks
• Limited motion and weakness
• Sensitivity, numbness, burning, and general discomfort around the wrist 

What will I do in therapy?

• Restore range of motion
• Decrease pain and/or sensitivity
• Gradual progression to gentle strengthening 

Call our office for any concern at (757) 827-2480. If you feel it is a medical emergency, call 911 or go to an emergency room.