{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T01:02:42Z","timestamp":1772672562715,"version":"3.50.1"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Some surgeons advocate for concomitant proximal row carpectomy (PRC) with total wrist arthrodesis (TWA), though there are limited data to support or oppose this view.<\/jats:p><jats:p>\n          Questions\/Purposes\u2003Does concomitant PRC improve rates of union, revision, hardware loosening, hardware failure, and hardware removal in TWA?<\/jats:p><jats:p>\n          Patients and Methods\u2003A retrospective cohort study of patients who underwent TWA with and without concomitant PRC between January 2008 and December 2018 was undertaken. Patients were included if they underwent TWA using a dorsal spanning plate. Patients were excluded if they underwent partial wrist arthrodesis, revision TWA, or TWA with nondorsal spanning plate fixation.<\/jats:p><jats:p>\n          Results\u2003A total of 183 wrists in 180 patients were included in the study, 96 (52.5%) in the TWA only and 87 (47.5%) in the TWA\u2009+\u2009PRC groups. Median clinical and radiographic follow-up was 18.0 months (3.0\u2013133.0 months) in the TWA\u2009+\u2009PRC group and 18.5 months (2.0\u2013126.0 months) in the TWA only group (p\u2009=\u20090.907). No difference in nonunion (TWA\u2009+\u2009PRC: 13\/87 [14.9%], TWA only: 18\/96 [18.8%], odds ratio: 0.76, p\u2009=\u20090.494), revision (TWA\u2009+\u2009PRC: 5\/87 [5.75%], TWA only: 8\/96 [8.33%], hazard ratio [HR]: 0.73, p\u2009=\u20090.586), loosening (TWA\u2009+\u2009PRC: 4\/87 [4.60%], TWA only: 6\/96 [6.25%], HR: 0.74, p\u2009=\u20090.646), failure (TWA\u2009+\u2009PRC: 5\/87 [5.75%], TWA only: 4\/96 [4.17%], HR: 1.55, p\u2009=\u20090.530), and removal (TWA\u2009+\u2009PRC: 12\/87 [13.8%], TWA only: 16\/96 [16.7%], HR: 0.84, p\u2009=\u20090.634) were identified.<\/jats:p><jats:p>\n          Conclusion\u2003Concomitant PRC might not improve rates of union or diminish complications in patient undergoing TWA. The role of PRC and the rationale for its use in TWA need to be individualized and discussed with patients prior to surgery.<\/jats:p><jats:p>\n          Level of Evidence\u2003This is a Level IV, therapeutic study.<\/jats:p>","DOI":"10.1055\/s-0041-1740400","type":"journal-article","created":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T23:48:42Z","timestamp":1640389722000},"page":"344-352","source":"Crossref","is-referenced-by-count":2,"title":["Does Proximal Row Carpectomy Improve Union in Wrist Arthrodesis? A Retrospective Cohort Study"],"prefix":"10.1055","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3887-3275","authenticated-orcid":false,"given":"John J.","family":"Bartoletta","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6956-6411","authenticated-orcid":false,"given":"Dana","family":"Rioux-Forker","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6023-3741","authenticated-orcid":false,"given":"Raahil S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9133-7722","authenticated-orcid":false,"given":"Katharine M.","family":"Hinchcliff","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9658-8192","authenticated-orcid":false,"given":"Alexander Y.","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0530-4225","authenticated-orcid":false,"given":"Peter C.","family":"Rhee","sequence":"additional","affiliation":[{"name":"Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"},{"name":"Clinical Investigation Facility, Travis Air Force Base, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,24]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5435\/JAAOS-D-15-00424","article-title":"Total wrist arthrodesis: indications and clinical outcomes","volume":"25","author":"D H Wei","year":"2017","journal-title":"J Am Acad Orthop Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jhsa.2020.09.019","article-title":"Union of radiocarpal fusion with and without proximal row carpectomy: a systematic review","volume":"46","author":"J B Ruskin","year":"2021","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.jhsa.2012.11.010","article-title":"Modified AO arthrodesis of the wrist (with proximal row carpectomy)","volume":"38","author":"D P Green","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1016\/S0363-5023(83)80099-9","article-title":"AO arthrodesis in the hand","volume":"8","author":"C S Wright","year":"1983","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"288","DOI":"10.3109\/17453676608989416","article-title":"Arthrodesis of the carpal joint","volume":"37","author":"P Salenius","year":"1966","journal-title":"Acta Orthop Scand"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1016\/j.jhsa.2013.02.013","article-title":"Clinical outcomes of arthrodesis and arthroplasty for the treatment of posttraumatic wrist arthritis","volume":"38","author":"J A Nydick","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1007\/s00264-005-0013-7","article-title":"Wrist fusion versus limited carpal fusion in advanced Kienbock's disease","volume":"29","author":"A D Tambe","year":"2005","journal-title":"Int Orthop"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1054\/jhsb.2001.0600","article-title":"Wrist arthrodesis with the AO titanium wrist fusion plate: a consecutive series of 42 cases","volume":"26","author":"S Houshian","year":"2001","journal-title":"J Hand Surg [Br]"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/S0266-7681(03)00146-3","article-title":"Wrist arthrodesis using a Synthes wrist fusion plate","volume":"28","author":"B M Meads","year":"2003","journal-title":"J Hand Surg [Br]"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/0266-7681(94)90171-6","article-title":"Wrist arthrodesis using a sliding radial graft and plate fixation","volume":"19","author":"R Sorial","year":"1994","journal-title":"J Hand Surg [Br]"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1302\/0301-620X.77B5.7559693","article-title":"Wrist arthrodesis using a dynamic compression plate","volume":"77","author":"J O'Bierne","year":"1995","journal-title":"J Bone Joint Surg Br"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1302\/0301-620X.78B5.0780783","article-title":"Wrist arthrodesis in rheumatoid arthritis. A new technique using internal fixation","volume":"78","author":"J Pech","year":"1996","journal-title":"J Bone Joint Surg Br"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/S0363-5023(05)80058-9","article-title":"Wrist arthrodesis for traumatic conditions: a study of plate and local bone graft application","volume":"20","author":"A P Weiss","year":"1995","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1302\/0301-620X.98B5.35638","article-title":"Factors predictive of patient outcome following total wrist arthrodesis","volume":"98-B","author":"D H Owen","year":"2016","journal-title":"Bone Joint J"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1054\/jhsb.2000.0488","article-title":"Wrist arthrodesis with excision of the proximal carpal bones using the Ao\/ASIF wrist fusion plate and local bone graft","volume":"26","author":"B J Hartigan","year":"2001","journal-title":"J Hand Surg [Br]"},{"issue":"05","key":"ref16","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/0363-5023(94)90175-9","article-title":"Simultaneous proximal row carpectomy and radius to distal carpal row arthrodesis","volume":"19","author":"R S Richards","year":"1994","journal-title":"J Hand Surg Am"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"E von Elm","year":"2007","journal-title":"Lancet"},{"key":"ref18","first-page":"373","volume-title":"Wrist arthrodesis and arthroplasty","author":"M Rizzo","year":"2017","edition":"7th ed."},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"F Faul","year":"2007","journal-title":"Behav Res Methods"},{"issue":"08","key":"ref20","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1016\/j.otsr.2020.03.038","article-title":"Long-term radiological changes and functional outcomes after proximal row carpectomy: Retrospective study with 3 years' minimum follow-up","volume":"106","author":"C Bijon","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.hansur.2016.01.003","article-title":"Carpal height and postoperative strength after proximal row carpectomy or four-corner arthrodesis: clinical, anatomical and biomechanical study","volume":"35","author":"P Laronde","year":"2016","journal-title":"Hand Surg Rehabil"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"2424","DOI":"10.1016\/j.jhsa.2014.09.005","article-title":"Dynamic assessment of wrist after proximal row carpectomy and 4-corner fusion","volume":"39","author":"H P Singh","year":"2014","journal-title":"J Hand Surg Am"},{"issue":"08","key":"ref23","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1016\/j.jhsa.2013.04.028","article-title":"Proximal row carpectomy: minimum 20-year follow-up","volume":"38","author":"L B Wall","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"05","key":"ref24","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/0363-5023(93)90043-3","article-title":"Wrist arthrodesis in post-traumatic arthritis: a comparison of two methods","volume":"18","author":"L E Bolano","year":"1993","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"897","DOI":"10.2106\/00004623-199606000-00013","article-title":"Arthrodesis of the wrist for post-traumatic disorders","volume":"78","author":"H Hastings II","year":"1996","journal-title":"J Bone Joint Surg Am"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1055\/s-0034-1400069","article-title":"Hardware-related complications following radiocarpal arthrodesis using a dorsal plate","volume":"4","author":"S E Berling","year":"2015","journal-title":"J Wrist Surg"},{"issue":"04","key":"ref27","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.hcl.2005.08.004","article-title":"Wrist arthrodesis","volume":"21","author":"R J Hayden","year":"2005","journal-title":"Hand Clin"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1740400.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,13]],"date-time":"2022-08-13T22:50:39Z","timestamp":1660431039000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1740400"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,24]]},"references-count":27,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,8,13]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1740400","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,24]]}}}