Treatment of post-traumatic degenerative changes of the radio-carpal and distal radio-ulnar joints by combining radius, scaphoid, and lunate RSL fusion with ulnar head replacementReport as inadecuate




Treatment of post-traumatic degenerative changes of the radio-carpal and distal radio-ulnar joints by combining radius, scaphoid, and lunate RSL fusion with ulnar head replacement - Download this document for free, or read online. Document in PDF available to download.

European Journal of Plastic Surgery

, Volume 34, Issue 6, pp 465–469

First Online: 12 March 2011Received: 15 September 2010Accepted: 24 January 2011

Abstract

Distal radial fractures are a common type of fracture. In the case of intra-articular fractures, they often result in post-traumatic arthrosis. The objective of this study is to describe a novel alternative to the established salvage techniques for the treatment of post-traumatic arthrosis of the radio-carpal and distal radio-ulnar joints DRUJ. Six patients with radio-carpal and DRUJ arthrosis were treated with a combined radius, scaphoid, and lunate RSL arthrodesis and as a Herbert ulnar head prosthesis. Follow-up consisted of both radiographic and functional assessments. Functional measurements were noted both pre- and postoperatively. No non-union or pseudoarthrosis was seen; neither did any of the ulnar head prostheses show loosening. Clinical examination showed an improvement in strength, pain, and range of movement, as well as a decrease in disability. Combining RSL arthrodesis with a Herbert ulnar head prosthesis, which deals with pain while retaining partial wrist movement, can be an alternative to established salvage procedures.

KeywordsWrist Partial arthrodesis Endoprosthetics Post-traumatic arthrosis  Download fulltext PDF



Author: Jorg Melcher van Groningen - Arnold H. Schuurman

Source: https://link.springer.com/







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