| Autor: |
Hanne Vandevivere, MD, Jeroen Vanhaecke, MD, Marleen Dezillie, MD, Filip Stockmans, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
Journal of Hand Surgery Global Online, Vol 2, Iss 1, Pp 61-65 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2589-5141 |
| DOI: |
10.1016/j.jhsg.2019.09.006 |
| 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. Key words: custom implant, DRUJ arthroplasty, wrist arthroplasty |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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