Proximal row carpectomy is one of the most recommended techniques for patients with advanced stage (IIIa and IIIb) Kienbock disease. Five patients surgically treated with proximal row carpectomy technique were studied over a period of 17 months. Results showed dorsiflexion of 58.8%, palmar flexion of 43.7% and grip strength of 15 Kg in comparison to the non-operated side. One patient showed persistent pain with great functional disability. Our clinical results did not reach the range of movement and grip strength reported in the literature after this procedure probably due to the shortness of the follow up period.