Resurfacing Capitate Pyrocarbon Implant versus Proximal Row Carpectomy Alone: A Comparative Study to Evaluate the Role of Capitate Prosthetic Resurfacing in Advanced Carpal Collapse

Giacalone, Francesco; Summa, Pietro G. di; Fenoglio, Alessandro; Sard, A.; Dutto, E.; Ferrero, M.A. Martín; Bertolini, Maddalena; García-Elias, Marc

doi:10.1097/prs.0000000000003759

Cited by 28 publications

(36 citation statements)

References 27 publications

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“…In Giacalone’s comparative study 16 , in the group of patients who underwent surgery with RCPI combined to PRC, one patient had a volar dislocation of the implant one week after surgery and necessitated surgery for implant reduction and joint stabilization with a Kirschner wire; long term results for this patient were comparable to those of other patients. Another patient of this group required total wrist arthrodesis one year after the first surgery for poor grip strength and persistent pain.…”

Section: Resultsmentioning

confidence: 87%

“…Recently, Giacalone et al . 16 published a comparative study analysing outcomes of patients who underwent PRC alone and patient who had RCPI implanted. In this second group of 25 patients, at an average 34 months follow-up post-operative ROM was 27-0-33° for flexion-extension and 12-0-27° for radio-ulnar deviation, VAS score was 2, grip strength was 55% of contralateral limb, DASH score was 20, and PRWE was 28.…”

Section: Resultsmentioning

confidence: 99%

“… 14 Furthermore, longest follow-up of this review was asymptomatic, without any implant failure at 91 months. 16 …”

Section: Discussionmentioning

confidence: 99%

“…Total prosthesis, 25 beyond being a more challenging surgery, presents often significant bone reabsorption and implant loosening, leading in most cases to a prosthesis revision after 10-12 years. 32-34 Proximal row carpectomy is a less complicated surgery, and presents comparable results to RCPI, 16 but it is not indicated in higher stages of SNAC/SLAC/SCAC/Kiembock. 29 …”

Section: Discussionmentioning

confidence: 99%

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Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review

Fulchignoni¹,

Caviglia²,

Rocchi³

2020

Orthop Rev (Pavia)

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Up to a decade ago, to treat patients with chronic wrist pain due to advanced stages of arthritis, surgeons had four main solutions: partial or total wrist arthrodesis, total wrist prosthesis and proximal row carpectomy (PRC). Since 2010, a new technique has been described in literature using the Resurfacing Capitate Pyrocarbon Implant (RCPI), combined to PRC. The aim of this article is to review the literature and determine the indications, outcomes and complications associated with RCPI. An electronic literature research was carried out and pertinent articles were selected. Surgical technique, results and complications described in those articles are presented. From this review of the literature, authors conclude that Resurfacing Capitate Pyrocarbon Implant can be considered as a good alternative to arthrodesis and total wrist arthroplasty, at any ages, when proximal row carpectomy alone would not be indicated.

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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

“… 14 Furthermore, longest follow-up of this review was asymptomatic, without any implant failure at 91 months. 16 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review

Fulchignoni¹,

Caviglia²,

Rocchi³

2020

Orthop Rev (Pavia)

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“…Eight studies used a CR method to address capitate arthritis; six studies used a resurfacing capitate pyrocarbon implant (RCPI). 14 15 16 17 18 19 Notably, only pyrocarbon implants were used in included studies. Two studies used an osteochondral autograft (OC) harvested from excised carpal bones.…”

Section: Resultsmentioning

confidence: 99%

Proximal Row Carpectomy Modifications for Capitate Arthritis: A Systematic Review

et al. 2022

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Introduction Proximal row carpectomy (PRC) is a motion-sparing procedure for radiocarpal arthritis with reliable results. Traditionally, proximal capitate arthritis is a contraindication to PRC; however, PRC with modifications are proposed to circumvent this contraindication. PRC modifications can be broadly grouped into capitate resurfacing (CR) and capsular interposition (CI) procedures which could expand PRC indications. Our primary question was to characterize the outcomes achievable with various PRC modifications. Our secondary question was to determine which PRC modification was the optimal procedure when capitate arthritis was present. Methods A systematic review was conducted to examine the outcomes of modified PRC procedures. Independent reviewers appraised multiple databases for PRC studies with modifications for capitate arthritis in adult patients (age >18 years) with a minimum of three cases and extractable outcomes. Modified PRC procedures included capsular/allograft interposition, resurfacing capitate pyrocarbon implants, and osteochondral grafting. Pertinent outcomes included patient demographics, range-of-motion, grip strength, patient-reported outcomes, and complications, including salvage rates. Results Overall, 18 studies met the inclusion criteria—10 studies (n = 147) on CI and 8 studies on CR (n = 136). PRC with CI had the greatest flexion–extension arc and grip strength. Complications were marginally higher in the CR group (4%), while the CI group had a higher conversion to total wrist arthrodesis (10%). Conclusion Techniques to address capitate arthritis center around resurfacing or soft tissue interposition. PRC modifications with CI produces better range-of-motion and grip strength but higher conversion to total wrist arthrodesis. Higher conversion rates may be attributable to longer follow-up periods in studies examining CI compared with CR. Level of Evidence This is a Level III study.

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Capitate Resurfacing

Intravia

Culp

2021

Wrist and Elbow Arthroscopy With Selected Open Procedures

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Resurfacing Capitate Pyrocarbon Implant versus Proximal Row Carpectomy Alone: A Comparative Study to Evaluate the Role of Capitate Prosthetic Resurfacing in Advanced Carpal Collapse

Abstract: Therapeutic, III.

Cited by 28 publications

References 27 publications

Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review

Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review

Proximal Row Carpectomy Modifications for Capitate Arthritis: A Systematic Review

Capitate Resurfacing

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