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J Wrist Surg 2024; 13(01): 009-015
DOI: 10.1055/s-0043-1761945
Scientific Article

Clinical Results of Patients with Combined Aptis Distal Radioulnar Joint Arthroplasty and Total Wrist Arthroplasty

Shirley D. Stougie   *
1   Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
,
Hero J.A. Zijlker   *
1   Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
,
J Henk Coert
1   Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
› Author Affiliations Funding The authors received no financial support for the research, authorship, and/or publication of this paper.
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Abstract

Background Severely destroyed wrists can be managed by combined radiocarpal and distal radioulnar joint (DRUJ) replacement that reduces pain while mobility is ought to be reserved. The combination of these arthroplasties is rarely reported in the literature.

Purpose This article describes the clinical outcomes of six consecutive patients with both total wrist and Aptis DRUJ arthroplasty with a median follow-up of 50 months (range: 18–108 months).

Patients and Methods Patients with a TWA combined with an Aptis DRUJ arthroplasty were retrospectively identified. The patients were treated between 2011 and 2020.

Results The flexion-extension arc was slightly decreased in three cases while forearm rotation was improved in three patients. Pain was adequately reduced in four patients and significant pain was seen in two patients. Although three of four patients could not return to previous work, all patients claimed to be satisfied with the result of the procedure.

Conclusion This article demonstrates the possible feasibility of this combined arthroplasty in patients with a destroyed and unstable wrist.

Level of Evidence Level III.

Keywords

Aptis - distal radioulnar joint arthroplasty - total wrist arthroplasty - total wrist implant

Ethical Approval

The medical ethical committee of the UMCU has approved this study.


Informed Consent

Written informed consent was obtained from a legally authorized representative(s) for anonymized patient information to be published in this article.


Authors' Contributions

All named authors were actively involved in the planning, enactment, and writing up of the study.


* Both authors contributed equally to the manuscript.




Publication History

Received: 10 August 2022

Accepted: 04 January 2023

Article published online:
21 April 2023

© 2023. Thieme. All rights reserved.

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  • References

  • 1 Kachooei AR, Chase SM, Jupiter JB. Outcome assessment after Aptis distal radioulnar joint (DRUJ) implant arthroplasty. Arch Bone Jt Surg 2014; 2 (03) 180-184
    PubMedGoogle Scholar
  • 2 Scheker LR, Babb BA, Killion PE. Distal ulnar prosthetic replacement. Orthop Clin North Am 2001; 32 (02) 365-376 , x
    CrossrefPubMedGoogle Scholar
  • 3 Reissner L, Böttger K, Klein HJ, Calcagni M, Giesen T. Midterm results of semiconstrained distal radioulnar joint arthroplasty and analysis of complications. J Wrist Surg 2016; 5 (04) 290-296
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Moulton LS, Giddins GEB. Distal radio-ulnar implant arthroplasty: a systematic review. J Hand Surg Eur Vol 2017; 42 (08) 827-838
    CrossrefPubMedGoogle Scholar
  • 5 Vandevivere H, Vanhaecke J, Dezillie M, Stockmans F. Salvage operation for a failed total wrist prosthesis and Darrach procedure by total wrist revision and distal radioulnar joint arthroplasty. J Hand Surg Glob Online 2019; 2 (01) 61-65
    CrossrefPubMedGoogle Scholar
  • 6 Nakamura T. Surgeons' level of expertise. J Wrist Surg 2020; 9 (03) 185
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Adams BD. Total wrist arthroplasty. Tech Hand Up Extrem Surg 2004; 8 (03) 130-137
    CrossrefPubMedGoogle Scholar