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Old 08-26-2011, 09:10 AM
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mtomaino mtomaino is offline
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First--thanks for posts. This is exactly why I included a Forums section on this web site.
Several meta-analyses of level 3 and 4 studies comparing PRC and Midcarpal fusion with scaphoid excision have shown equivalence. Range of motion and grip strength may decrease 30 percent or so, but one can generally expect pain relief except with the most strenuous of activity. This is pretty much the only downside of a "motion-preserving" alternative----as compared to a full wrist fusion, for example. And, neither option burns the bridge of complete fusion in the future.

Regarding your question of whether to have surgery now-----there is no Evidence to accurately support an answer. I would prpbably not have surgery now if your wrists are tolerable---however, as a hedge in the future, it may make sense to invest what funds you have avalable today, in a Health Savings Account. When the "red warning light" goes on in your car, you don't monkey around. When and if your wrists become intolerable, you need to be positioned to receive the approriate care. If you have the surgery before you feel you need it, and it does not fully meet your expectations--you will be disappointed, potentially.
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