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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.
MedLine Citation:
PMID:  22162910     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Jorg Melcher van Groningen; Arnold H Schuurman
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-12
Journal Detail:
Title:  European journal of plastic surgery     Volume:  34     ISSN:  1435-0130     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8700891     Medline TA:  Eur J Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  465-469     Citation Subset:  -    
Affiliation:
Department of Plastic, Reconstructive and Hand Surgery, University Medical Centre Utrecht, g04.122, P.O. Box 85500, 3508 GA Utrecht, The Netherlands.
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