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Published on: May 26, 2023
Distal radioulnar joint replacement
Philippe Kopylov1, Magnus Tägil
1Hand and Upper Extremity Unit, Department of Orthopedics, Lund University Hospital, Lund, Sweden. philippe.kopylov@ort.lu.se
Techniques in Hand & Upper Extremity Surgery
|June 1, 2007
Summary
Darrach resection for distal radioulnar joint instability causes stump problems. New implants preserve ligaments and restore joint function, offering better treatment options for forearm rotation issues.
Area of Science:
- Orthopedic surgery
- Biomechanics
- Reconstructive surgery
Background:
- Darrach resection is standard for distal radioulnar joint (DRUJ) issues but causes ulnar stump instability.
- The ulnar head is crucial for DRUJ function and distal forearm stability during rotation.
Purpose of the Study:
- To evaluate the role of the ulnar head in DRUJ function.
- To introduce novel DRUJ implants for improved patient treatment.
Main Methods:
- Development and application of partial resurfacing and modular ulnar head implants for DRUJ reconstruction.
- Assessment of implant function in primary, revision, and salvage procedures.
Main Results:
- Partial resurfacing implants preserve ligamentous attachments and DRUJ stability in primary cases.
- Modular ulnar head implants restore ulnar head offset and stabilize the stump in revision/salvage scenarios.
Conclusions:
- Novel DRUJ implants address limitations of Darrach resection.
- These implants offer solutions for a majority of DRUJ prosthesis indications, restoring pain-free function.
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