Abstract
1. Excision of the proximal row of the carpus is a useful procedure, with a limited application in patients with ununited fractures of the scaphoid, Kienböck's disease, dislocation of the lunate bone, unreduced mid-carpal dislocations and similar injuries which do not respond to conservative management.
2. It is an acceptable alternative to arthrodesis, even when the wrist is likely to be subjected to heavy use.
3. In the event of failure arthrodesis can still be carried out.
4. Advanced degenerative changes are a contra-indication but mild to moderate changes do not appear to affect the results.
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