Treatment of chronic post-traumatic dorsal subluxation of the distal ulna by hemiresection-interposition arthroplasty.
Twenty-four patients were evaluated for complaints of pain in the area of the distal radioulnar joint, decreased forearm rotation, and weakness of grip. All patients had a history of trauma to the involved wrist an average of 40 months prior to presentation. Six patients had undergone previous surgery that was unsuccessful. Twenty-three patients were available for follow-up evaluation at an average of 36 months following hemiresection-interposition arthroplasty. At that time, results were excellent in 13 patients, good in 4 patients, fair in 3, and poor in 3. Two patients developed symptoms of styloidcarpal abutment (poor results), one of whom was upgraded to an excellent result after undergoing a shortening osteotomy of the ulna.
Imbriglia
J E
JE
Department of Orthopaedic Surgery, Medical College of Pennsylvania, Pittsburgh 15212.
Matthews
D
D
D000328:Adult; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D007593:Joint Instability / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D008297:Male; D011885:Radius Fractures / Q000150:complications; D013997:Time Factors; D014457:Ulna / Q000293:injuries*; D014458:Ulna Fractures / Q000150:complications; D014954:Wrist Injuries / Q000150:complications*; D014955:Wrist Joint / Q000601:surgery*