Salvage Operation for a Failed Total Wrist Prosthesis and Darrach Procedure by Total Wrist Revision and Distal Radioulnar Joint Arthroplasty
| Autor: | Filip Stockmans, Jeroen Vanhaecke, Hanne Vandevivere, Marleen Dezillie |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Darrach procedure business.industry Bone stock medicine.medical_treatment wrist arthroplasty lcsh:Surgery lcsh:RD1-811 Wrist Total wrist prosthesis Arthroplasty Prosthesis Distal radioulnar joint Surgery body regions Fixation (surgical) custom implant medicine.anatomical_structure medicine DRUJ arthroplasty business |
| Zdroj: | Journal of Hand Surgery Global Online, Vol 2, Iss 1, Pp 61-65 (2020) |
| ISSN: | 2589-5141 |
| Popis: | An unstable distal ulnar stump after Darrach resection, alongside pathology of the radiocarpal joint, is difficult to manage without fusion of at least one joint. Currently, no standard 2-in-1 arthroplasty is available. We report the case of a 72-year-old woman with loosening of the radial stem of a Universal 2 total wrist prosthesis combined with radioulnar impingement after a Darrach procedure. Because of poor radial bone stock, the standard fixation technique of a semi-constrained distal radioulnar joint prosthesis (Aptis) was not possible. We present a technique to fix the semi-constrained distal radioulnar joint prosthesis as well as a total wrist prosthesis by a custom 3-dimensional printed flange prosthesis to the ulnar border of the radius. Three years after surgery, the patient remained pain-free, with 60° flexion, 75° extension, 80° pronation, and 80° supination. ispartof: J Hand Surg Glob Online vol:2 issue:1 pages:61-65 ispartof: location:United States status: Published online |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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