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Master Thesis

Devenir à long terme de la résection de la première rangée du carpe : à propos d’une série de 62 cas

Abstract : Objectives : Determine and analyze functional and radiographic results after proximal row carpectomy. We hypothesized that this surgery could restore a mobile and functional wrist in case of a radiocarpal osteoarthritis or severe carpal trauma. Methods : 62 patients had undergone proximal row carpectomy. The indication for surgery was a radiocarpal osteoarthritis or severe carpal trauma. Clinical evaluation and radiographic were performed for each patient. Results : At follow-up, evaluation after a mean of 11.8 years, 15 patients (24.2%) required revision surgery for total wrist arthrodesis in a median of 22 months (6-179) following disabling pain and lack of strength. The faillure was statistically correlated to the status of young and manual labourer. The functional result is statistically correlated to pain and low to strengh. However, there is no correlation between functional outcome and residual mobility of the wrist. The mobility of the operated wrist is 61.5% and strength is 70% compared to the contralateral healthy side. Conclusions : This study confirms the role and long-term efficacy of proximal row carpectomy in the treatment of wrist osteoarthritis and severe carpal trauma. It is a reliable procedure in the long term with a low risk of complications for patients wishing to preserve the mobility of the wrist. In case of failure, common in young patients and manuals laborers, a total wrist arthrodesis remain an effective salvage procedure giving in this series good results.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01217506
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Submitted on : Wednesday, October 21, 2015 - 9:05:04 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:18 AM
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  • HAL Id : dumas-01217506, version 1

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Jérémy Billy Chedal Bornu. Devenir à long terme de la résection de la première rangée du carpe : à propos d’une série de 62 cas. Médecine humaine et pathologie. 2015. ⟨dumas-01217506⟩

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