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

  • Camillo Fulchignoni | camillo.fulchignoni@gmail.com Orthopaedics & Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Daniele Caviglia Orthopaedics & Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Lorenzo Rocchi Orthopaedics & Hand Surgery Unit, Department of Orthopaedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.

Abstract

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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Published
2020-06-25
Keywords:
RCPI, pyrocarbon, wrist, SNAC, SLAC, Kienböck.
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How to Cite
Fulchignoni, C., Caviglia, D., & Rocchi, L. (2020). Resurfacing capitate pyrocarbon implant after proximal row carpectomy: A literature review. Orthopedic Reviews, 12(1s). https://doi.org/10.4081/or.2020.8679