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Revista Brasileira de Ortopedia
Print version ISSN 0102-3616
SANTOS, Cláudia et al. Indications for distal radio-ulnar arthroplasty: report on three clinical cases. Rev. bras. ortop. [online]. 2011, vol.46, n.3, pp.321-324. ISSN 0102-3616. http://dx.doi.org/10.1590/S0102-36162011000300017.
Distal radioulnar arthroplasty is an attractive solution for treating various pathological conditions of the distal radioulnar joint because it allows restoration of stability, load transmission and function. The main indications are: radioulnar impingement after partial or complete resection of the distal ulna; and degenerative, inflammatory or post-traumatic arthritis of the distal radioulnar joint. The authors present three clinical cases of distal radioulnar pathological conditions: two patients with post-traumatic sequelae and one case of distal radioulnar impingement after a Sauvé-Kapandji operation. The three cases were treated surgically with a metallic prosthesis to replace the distal ulna (First Choice - Ascension®). The first two were treated with a resurfacing prosthesis and the last one with a modular prosthesis. All of the patients had achieved pain relief and increased movement of the distal radioulnar joint after one year of postoperative follow-up.
Keywords : Arthroplasty; Wrist; pathology; Wrist; surgery.