Proximal Row Carpectomy

Robert M. Campolattaro, M.D.

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