Proximal Row Carpectomy
Proximal row carpectomy for painful scapholunate dissociation with radioscaphoid arthritis. These are steps taken from the video at the bottom of this page.
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 Dorsal incision. |
 Extensor retinaculum access through third compartment, leaving radial leaf attached to bone. |
 Ulnar retinacular flap reflected ulnarly into the fifth compartment. |
 Optional posterior interosseous neurectomy. |
 Inverted "T" dorsal capsular flaps. |
 Triquetrum excision. |
 Lunate excision. |
 Scaphoid exposure. |
 Piecemeal excision of distal scaphoid. |
 Trapezium-trapezoid joint visible after scaphoid excision. |
 Capsular repair. |
 Retinaculum anchored back to dorsal radial tubercle attachment to reconstitute extensor pollicis longus pulley. |
 Retinacular closure. |
 Skin closure. |