How long does it take to recover from proximal row Carpectomy?
How long does it take to recover from proximal row Carpectomy?
Things to look out for after surgery:
| Hospital stay | Day care |
|---|---|
| Wound healing | 2 weeks |
| Splintage | 4-5 weeks |
| Hand therapy | 5-6 weeks |
| Washing | from week 2 |
What bones are removed in a proximal row Carpectomy?
In cases of severe arthritis of the wrist, surgical removal of the scaphoid, lunate and triquetrum bones or proximal row carpectomy (PRC) is a well-known procedure. This procedure converts the wrist in a simple hinged joint but allows us to preserve a certain range of motion in the wrist.
What is proximal row Carpectomy?
Proximal row carpectomy (PRC) is a motion-preserving treatment for the degenerated wrist. PRC provides painless wrist range of motion with few complications. PRC treats specifically scapholunate advanced collapse, scaphoid non-union advanced collapse, chronic perilunate dislocations, and Kienbock’s disease.
What is the CPT code for proximal row Carpectomy?
25215
Materials and Methods
| CPT Code | Description |
|---|---|
| 25210 | Carpectomy; 1 bone |
| 25215 | Carpectomy; all bones of proximal row |
| 25800 | Arthrodesis wrist; complete without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) |
| 25810 | Arthrodesis wrist; with iliac or other autograft (includes obtaining graft) |
What is the proximal row carpectomy therapy protocol?
Proximal Row Carpectomy Therapy Protocol Proximal Row Carpectomy !erapy Instructions Laith Al-Shihabi, MD 2-6 weeks Focus on recovery of !nger motion within the early postoperative period. Splint: -Fashion removable short-arm volar wrist splint in neutral to be used at all times except for therapy and motion exercises.
How long is a proximal row carpectomy cast?
Im 8 weeks po. While in the cast wiggle your fingers like you ate typing. Wiggle your thumb. The more you do the easier it will be when the cast comes of and they put you in a removable splint. I go in today to get the splint adjusted.
When to have a proximal carpal row excision?
Excision of the proximal carpal row has proven over the past 60 years to be an effective technique for certain disorders of the wrist, including degenerative sequelae of scapholunate ligament dissociation and scaphoid nonunions, Kienbo¨ck disease, Preisser disease, and other fracture-dislocations of the wrist.
When to wean from a proximal row splint?
Splint: -Wean from splint by 8 weeks after surgery. Motion: -Begin gentle !nger and wrist strengthening using putty or other modalities per therapist. -Begin wrist PROM and continue wrist AROM/AAROM. -5 lbs lifting restriction starting at 8 weeks. -15 lbs lifting restriction at 10 weeks. -Transition to home exercise program at 8-10 weeks.