Proximal Row Carpectomy Treatment in Turkey
About Proximal Row Carpectomy
Key Highlights
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Effectively relieves chronic wrist pain caused by advanced arthritis or avascular necrosis.Preserves a functional range of motion in the wrist, crucial for a child's development and activities.Considered a reliable salvage procedure when other reconstructive options are not viable.Can prevent the progression of degenerative changes to other parts of the wrist joint.Helps restore grip strength and overall hand function over time.
Who is this surgery for?
- Advanced Kienböck's disease (Lunatomalacia) with collapse of the lunate bone.
- Non-union or avascular necrosis of the scaphoid bone (Preiser's disease) not amenable to reconstruction.
- Severe post-traumatic arthritis of the proximal carpal row.
- Certain complex carpal fracture-dislocations that cannot be satisfactorily reduced and fixed.
- Failed previous surgical procedures on the wrist, such as a failed scaphoid non-union repair.
- As a pain-relieving option for select congenital or developmental wrist disorders causing debilitating arthritis.
How to prepare
- Comprehensive clinical evaluation and detailed discussion of the procedure, goals, and alternatives with the pediatric orthopedic surgeon and family.
- Advanced imaging studies, typically including X-rays and often an MRI or CT scan, to precisely assess the extent of damage.
- Pre-operative blood tests and a general medical clearance to ensure the child is fit for anesthesia and surgery.
- Discontinuation of certain medications (like aspirin or anti-inflammatories) as advised by the surgical team to reduce bleeding risk.
- Fasting for a specified period (usually 6-8 hours for solids) prior to the scheduled surgery time.
- Planning for post-operative support, including arranging time off school and assistance with daily activities during initial recovery.
Risks & possible complications
- General surgical risks: Infection, bleeding, hematoma, or adverse reaction to anesthesia.
- Nerve injury, potentially leading to temporary or permanent numbness, tingling, or weakness in the hand.
- Stiffness or reduced range of motion in the wrist compared to pre-operative expectations.
- Persistent pain or the development of new pain.
- Progressive arthritis in the new joint (radio-capitate joint) over the long term.
- Weakness in grip strength.
- Complex Regional Pain Syndrome (CRPS), a condition of severe, prolonged pain and swelling.
- Need for further surgery in the future.
Recovery & hospital stay
- Immediately after surgery, the wrist will be placed in a bulky dressing and splint or cast to protect the new joint.
- Significant pain and swelling are managed with prescribed medications and elevation of the hand.
- The initial cast is typically worn for 4-6 weeks to allow for early healing.
- A structured hand therapy program is crucial, starting with gentle motion exercises and progressing to strengthening.
- Full recovery and return to sports or heavy activities may take 4 to 6 months or longer.
- Regular follow-up visits with the surgeon are necessary to monitor healing and progress in therapy.
- Long-term, some activity modifications may be recommended to protect the wrist joint.
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Typical hospital stay:
2-3 days
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Expected recovery time:
4-6 months for full functional recovery
Frequently Asked Questions
If you are considering proximal row carpectomy in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with pediatric orthopedics departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform proximal row carpectomy. MediFyr helps you compare pediatric orthopedics and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for proximal row carpectomy compare across other countries where we have data.
Our 8-year-old daughter fractured her elbow...
Our 8-year-old daughter fractured her elbow in a playground fall, and Dr. Prashanth Inna was absolutely phenomenal. He explained the complex procedure in simple terms, calmed our nerves, and the minimally invasive surgery went perfectly. His follow-up care was thorough, and she's now back to gymnastics without any issues!