Wrist Replacement vs Fusion vs Proximal Row Carpectomy
I had options for doing nothing and living with the issues I had with my wrist for decades, or having either a wrist replacement, or a partial or full fusion. The choice was mine. I chose the partial wrist fusion over a replacement because I valued limited motion and strength for an active lifestyle more than anything else. I was running out of time for having all options open as my wrist was deteriorating more rapidly than before.
I had a huge cyst in my lunate bone and that issue put things up in the air as far as my choice of a 4 point fusion went. If things looked bad upon entering the area during surgery, I had asked the surgeon to just go ahead and do a full fusion. The lunate bone was an eggshell. Thin and useless for grafting, but a last minute option was presented to me by the surgeon: a Proximal Row Carpectomy.
I had a Proximal Row Carpectomy this morning after it was discovered just how bad the lunate was and how the absence of cartilage between a few bones made for limited choices.
Has anyone else been presented with this option?
there is a video of this procedure on the bottom of this page: http://www.eatonhand.com/vid/prc.htm
Pain is very manageable and the recovery time is expected to be short compared to the fusion choices. I understand many docs won't do a PRC for younger patients (under 60), but it was the best choice for me. I expect good ROM (Range Of Motion) and good strength resulting from therapy.
I do not require a constant dose of pain meds. I think a few nerve things were done. Maybe partial wrist denervation. I can't remember everything. I'll get the lowdown during my follow up visit when they take the wire out that is used for alignment. I hope to get images of my crappy lunate that decided the course taken for PRC vs 4 point fusion
I had a PRC 2 years ago, and the pain is HORRIBLE 24/7/365. I have had an electronic nerve stimulator implanted in my spine and that has helped very little. My last choice is the total fusion. I was unaware there was a wrist replacement procedure. I'd like to know more!
I had the PRC surgery done on Jan. 5, 2009 after breaking my wrist the year before. I had problems with my lunate bone moving out of place. I had very little pain after the surgery and was back at work within 2 weeks. I do however have a constant ache in my wrist especially if I do too much with it, which is hard not to considering it's the hand I write with. I have a couple fingers that give me problems every now and then too. I def would have liked to been given other options, but this was all I was offered. I'm now learning about the different surgeries they can do and worry I may have to have another one later on. I was also only 28 at the time of my PRC surgery. Has anyone else had issues after PRC surgery??????
I am facing PRC and can't find much information from real people that actually had this procedure. It is mostly medical text book stuff that is published. This is the first site I found where real patients are talking. Anyone know of other sites?
I am a 61-year-old woman, mother of 3 and almost grandmother, retired high school English teacher, obsessive runner & weight-lifter, writer, pianist. I went to a doctor 32 years ago because my wrist was hurting and his diagnosis was that my wrist was "boggy." What? Like a cranberry bog? So my Kienbock's progressed and I lived with it until 5 years ago when I finally went to a hand specialist.
First let me make clear that I am only 5 days out of the PRC surgery and so my thoughts and feelings are skewed by pain, medication, frustration, sleeplessness, and, by the way, did I say pain?
I needed this surgery because the lunate disintegration was stage 3B, which turned out to be more like stage 4 once he got in there and had a look. But I had been living in increasing pain for years. Recently I could barely sign my name, dry my hair, push a shopping cart, etc., and it was starting to keep me up at night.
So far, this has been the most painful procedure I ever had in my life. And I've had 3 c-sections, arthroscopic on both knees, breast stuff, thyroid removal, etc. Was this so painful because so much was going on in there? I don't know. This pain, though---I think this recovery will be measured in weeks, not days. From what I read from other patients on blogs like this one, the results vary greatly. So if you have this procedure done and it hurts a lot more than some people say it will, don't think you're crazy. You're not alone. I should've been overnight in a hospital that first night, no lie. But that is an insurance problem, as we know. Anyway, as I said, it's only been 5 days since my PRC to correct a 60-year-old mess.
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