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On the right wrist (upper row) a radiolunate fusion, combined with a synovectomy and a Darrach ulna resection was performed. The carpus was stable over the observation period. The opposite left wrist remained untreated and showed a marked progression of the carpus destruction with ongoing ulnar carpal shift. 550 HERREN & ISHIKAWA wrist fusion is technically without any specific difficulties. In contrast, the preservation of the bone stock in partial fusion facilitates the wrist fusion procedure. The clinical experience shows few cases in which this had to be performed.

49] Halikis MN, Colello-Abraham K, Taleisnik J. Radiolunate fusion. The forgotten partial arthrodesis. Clin Orthop 1997;341:30–5. [50] Ishikawa H, Murasawa A, Nakazono K. Long-term follow-up study of radiocarpal arthrodesis for the rheumatoid wrist. J Hand Surg [Am] 2005;30: 656–66. [51] Rittmeister M, Kandziora F, Rehart S, et al. Radiolunar Mannerfelt arthrodesis in rheumatoid arthritis. Handchir Mikrochir Plast Chir 1999;31(4):266–73. [52] Doets HC, Raven EEJ. A procedure for stabilising and preserving mobility in the arthritic wrist.

Stack wrote about carpectomy of just the scaphoid and the lunate in 1948 [2]. In 1964 Crabbe reported on 20 patients treated by Stamm in England between 1943 and 1962. Sixteen of 20 of these results were classified as good, with joint pain relief and retention of a functional range of motion and strength [3]. Warren and Stubbins in 1944 described carpectomy for intractable flexion deformities of the wrists owing to extrinsic causes [4]. Indications Proximal row carpectomy is a useful procedure for various conditions.

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