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PRC – An Explanation

PRC – proximal row carpectomy is a surgical procedure that removes a row of small bones in the wrist. In reality, the surgeons change a complex joint in the wrist to a simple yet workable hinge. One good part about a PRC as compared to other wrist surgeries is that it has the least amount of recovery time. I have created a small video that explains the procedure as I understand it to be. There are many reasons why a PRC is performed and I am certain that everyone is unique. In my case my lunate bone had not received blood circulation for a very long time and had cracked while I was changing a spark plug on my Vespa GTV 300. There is no other option but a PRC or a complete wrist fusion. Have you had a PRC? If yes, please take 10-seconds and complete our survey so others may know the statistical outcome. (Click Here).

 

 

X-Rays:

 

 

CT Scan – 4 Months After Surgery:

 

Video 1 of 2

 

Video 2 of 2
 

 

 

More to Come…

142 Comments
  1. hello everyone. i am very happy i found this page. i am a 23 year old college student who recently had PRC due to Kienbock’s. reading every ones replies i know the recovery time is a long process but i was wondering if anyone can still lift weights? (even years after recovery?) working out is a second way of life for me and never being able to do it again might just ruin mine. i knew going into surgery i would never be able to do certain movements after and not be as strong but im really worried(even if it is very light lifting). if anyone could can help out or give some advice that’d be great..

    • Maria permalink

      Hi Nick,

      I recently found a facebook page called Kienbocks Disease. Check it out, it has been really helpful to me🙂 Good luck!

    • Bill permalink

      I lift weights but I wear a brace on my wrist.
      More reps less weight

    • Chris permalink

      Quick Hx – broke my wrist boxing and playing football years ago which resulted in wrist instability and requires multiple surgeries. Had an unsuccessful bone graft done and then a PRC. The PRC helped with pain but the recovery time was long and painful. Eventually returned to being able to about 70 % strength in my hand and probably 60-70% range of motion. However, eventually pain returned over the course of several years and the wrist became unstable. This resulted in a complete fusion of the wrist. If I had a chance to do it again, I would opt for the fusion. I was scared to death of not being able to move my hand but I really don’t even think about it. It’s a non issue 98% of the time outside of typing moving things into a shelf. Pain is near zero unless I over use my hand, then I use a brace till it recovers. One thing to note is that my job requires some heavy lifting and I still weight train. I do not take it easy on my hand and if your job and lifestyle are more casual, a PRC may work for you. If I had to do it again, I would skip the PRC and opt for the fusion.

    • sir i had PRC 4 months ago hwo long take time can i do waight lifiting and hwo much i well be normal like before …?

  2. Paul Dobbin permalink

    I too opted for the 4 corner fusion 11 months ago. Arthritis set in and it hurt like before the operation. A month ago I had orthroscopic surgery to scrape the bone.
    Now I want the full wrist fusion with a steel rod. This business of having to baby it is not acceptable. Just like the doctor said, the PRC and 4 corner fusion are for light use only,

  3. Dew permalink

    I had a PRC a little over a year ago. I had a bad wrist fracture I can do most things or I have adjusted. I used to do a lot of bicycling, but now it’s difficult. My range of motion is very limited. The pain is better then before the surgery. Its harder to get off the floor with my wrist. I use more my elbows. My injury was from a fall – workers compensation. My wrist has been a lot weaker ex: opening a bottle of pop. Its a life adjustment. I have huge fears I may fall again and bend wrist beyond my range of motion. I would think it would,be very painful.

    • I had that same fear for the first couple of years. I have since fallen a few times and somehow my body managed to avoid injuring my wrist. I still ride my motorcycle and now I am training for Style Canoeing and love it. It is hard on my wrist by I recover daily and need to pain meds at all.

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