Proximal row carpectomy in arthrogrypotic wrist deformity.

We studied five patients who had proximal row carpectomy for the correction of wrist deformity secondary to arthrogryposis multiplex congenita. Three patients subsequently had wrist arthrodesis for recurrent or persistent deformity. We analyzed those factors we thought might influence the final result, including age at time of surgery, adequacy of correction of deformity, position of immobilization, and duration of immobilization. We concluded that despite attention to the details of intraoperative correction of deformity and postoperative immobilization, the results are unpredictable.