The wrist is one of the most complex joints in the body, made up of eight small bones that allow for flexibility and strength. When arthritis or severe injury affects the wrist, patients may experience pain, stiffness, and loss of motion that interferes with daily life. One surgical option to restore function is Proximal Row Carpectomy (PRC), a procedure that removes three wrist bones—the scaphoid, lunate, and triquetrum—to relieve pain while preserving motion. First described in the mid-20th century, PRC has become a reliable treatment for certain types of wrist arthritis and injuries.

Patients who benefit from PRC often suffer from chronic wrist pain, limited range of motion, and difficulty performing tasks such as gripping, lifting, or typing. For residents of Kennewick, WA, these symptoms can interfere with work, recreation, and family activities. Left untreated, wrist arthritis or instability can progress, leading to permanent disability and reduced independence.

Proximal Row Carpectomy is typically indicated for patients with degenerative arthritis limited to the proximal row of carpal bones, especially when the capitate and lunate fossa of the radius remain healthy. It is also used for certain cases of Kienböck’s disease (avascular necrosis of the lunate) and chronic scaphoid nonunion. PRC is not recommended if arthritis has spread to other parts of the wrist, as outcomes are less predictable.

The main benefit of PRC is pain relief while maintaining a functional range of motion. Unlike total wrist fusion, which eliminates movement, PRC allows patients to retain flexibility for everyday tasks. Recovery typically involves regaining strength and mobility through physical therapy, and most patients report significant improvements in pain and function.

During PRC, the surgeon carefully removes the scaphoid, lunate, and triquetrum bones, allowing the remaining carpal bones to articulate directly with the radius. This creates a stable, functional wrist joint. Recovery includes immobilization in a splint or cast, followed by structured rehabilitation. Patients can expect gradual improvement in grip strength and motion over several months.

At Benton Franklin Orthopedic Associates, fellowship-trained orthopedic surgeons provide expert care for complex wrist conditions requiring PRC. Their team offers accurate diagnosis, advanced surgical techniques, and personalized rehabilitation plans to ensure the best outcomes. By combining compassionate care with modern technology, they help Kennewick residents regain wrist function, reduce pain, and return to the activities they love. For anyone struggling with chronic wrist pain or arthritis, Benton Franklin Orthopedic Associates is a trusted partner in recovery. Call to schedule a consultation at 509-586-2828.