Resection of proximal row carpal.docVIP

 PAGE \* MERGEFORMAT 11 Resection of proximal row carpal [Keywords:] reported Because year after year, continuously reported in the literature, in particular, and some wrist arthrodesis comparative study of clinical efficacy, making the proximal row carpal resection (proximal row carpectomy, PRC) has been free from some of the questions presented [1], became known clinically recognized, and carpal fusion and some wrist with a late degeneration of the main treatment. the technology matures, there are still some points have not been uniform, such as details of carpal resection, biomechanical research and clinical effects are not met reason, the distal radial lunate fossa and the head of bone degeneration of the proximal whether surgery or how to adjust the line for this surgery. this review around these issues, to provide clinical information. An overall effect Guy’s Hospital in London Stamn doctors completed the world’s first PRC, and in 1939 reported by the Green Doctor. After some initial reports have shown good results of the surgery. As less of surgery, surgery is controversial in the early years, The main reason is that opponents of the wrist after radial wrist weakness and a new mismatch. With the accumulation of long-term follow-up data, and eventually shows the stability of the effect of surgery [2,3]. PRC and partial wrist arthrodesis controlled studies have shown the same indication in the front, the overall effect of this operation is equivalent to or slightly better than the part of the wrist fusion [4], which ultimately approved for clinical doctors to provide the evidence. In this paper, and over 20 cases of relatively complete and parameters comprehensive list of the literature 1, for easy viewing of the operation carried out by the basic situation. Present evaluation results and satisfaction wrist surgery has 4 parameters: pain, wrist movement, grip strength, and whether the return to work. Pain is the patient visits and the main l