The Upper Hand: Chuck & Chris Talk Hand Surgery Chuck and Chris Talk Wrist Salvage Procedures with Steve Moran
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Mar 20, 2022 Hand surgery expert Steve Moran joins Chuck and Chris to discuss wrist salvage procedures like PRC and scaphoid excision. They explore technical aspects, neurectomies, order of operations, and more. Stay tuned for a newsletter launch and survey link to win a mug!
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Patient-Specific Procedures
- Consider patient needs and wrist motion requirements when deciding on wrist salvage procedures.
- Proximal row carpectomy (PRC) suits less demanding jobs, while scaphocapitate fusion may benefit manual laborers.
PRC Limitations
- Not all patients achieve optimal outcomes after PRC for Kienböck's disease.
- This might be due to the severity of Kienböck's or prior unsuccessful treatments.
Treating Kienböck's in Young Patients
- For young patients with Kienböck's, prioritize non-invasive treatments and avoid altering wrist anatomy.
- Vascularized grafting is preferred unless lunate cartilage is fractured.