Long-term results of the Aptis TM total distal radioulnar joint prosthesis after previous failed surgical procedures.
| Autor: | Martínez Villén G; Department of Orthopaedic and Traumatology (Hand and Reconstructive Surgery Unit), Miguel Servet University Hospital, Zaragoza, Spain., Espada Blasco C; Department of Orthopaedic and Traumatology (Hand and Reconstructive Surgery Unit), Miguel Servet University Hospital, Zaragoza, Spain., Rodríguez Nogué L; Department of Orthopaedic and Traumatology, University Hospital Royo Villanova, Zaragoza, Spain., García González E; Department of Clinical Biochemistry, Miguel Servet University Hospital, Zaragoza, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of hand surgery, European volume [J Hand Surg Eur Vol] 2024 Jan; Vol. 49 (1), pp. 82-90. Date of Electronic Publication: 2023 Sep 25. |
| DOI: | 10.1177/17531934231192375 |
| Abstrakt: | We present a prospective study with the results of ten Aptis total distal radioulnar joint replacements in patients who had one to five previous operations. The mean postoperative follow-up was 9.7 years (range 3-14.7). The mean postoperative range of motion of the wrist improved by 9° for extension, 15° for flexion, 10° for pronation and 14° for supination, achieving values equivalent to 88%, 78%, 97% and 88% of those of the non-operated hand. There were minimal changes in radial and ulnar deviations. Grip strength improved by 7 kg, pain decreased by 8 points, QuickDASH and Mayo wrist scores improved by 51 and 53 points, respectively. Two implants had radiolucency less than 1 mm. Serum titanium ion levels were slightly elevated in two patients. Three prostheses required revision surgery for heterotopic ossification, a prominent radial screw and a periprosthetic fracture. No prostheses were removed. Six patients returned to their former professional activities and four patients adapted their jobs. Level of evidence: IV. Competing Interests: Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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