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Long-Term Results of Darrach Resection in Patients 40 Years and Younger
Anthony L Logli1, Courtney Carlson Strother2, Sanjeev Kakar2
1OrthoIllinois, Algonquin, Illinois.
Background:
The purpose of this study was to assess the long-term clinical and radiographic outcomes after distal ulna resection (Darrach procedure) in young adults.
Materials And Methods:
A retrospective chart review identified all adult patients who underwent Darrach resection at 40 years of age or younger and had a minimum of 5-year follow-up. Twenty-one patients (24 wrists) were available for final follow-up. Fifteen patients (16 wrists) returned for in-person evaluation, and seven patients (eight wrists) completed questionnaires by phone.
Results:
Mean PRWE and QuickDASH scores were 32 and 34, respectively. The median visual analog scale at rest was 0 and 1 with activity. In 88% of cases, patients reported they would have the same surgery again. Of those who were employed preoperatively, 81% (13/16) returned to work, with all but one patient returning to their preoperative job. Radioulnar convergence occurred in all patients, but only three (23%) were symptomatic.
Conclusion:
The Darrach procedure may be a viable surgical option for DRUJ pathology in younger adults when other options are unavailable.
Level Of Evidence:
Therapeutic IV.
