Failed ulnar head resection: prevention and treatment.
Distal ulnar head resections may cause a painful impingement of the distal ulnar stump against the radius during loaded forearm rotation. Different soft-tissue procedures have been suggested to solve this difficult problem, but none has demonstrated clear superiority over the others. The introduction of a variety of ulnar head and total radio-ulnar joint prostheses has provided a new method of addressing this problem, but there is presently no evidence that these implants produce long-lasting results. This paper critically reviews these different options, and emphasizes techniques which may help to minimize the risk of complications when excision of the ulnar head is unavoidable.
Garcia-Elias
M
M
Institut Kaplan, Hand and Upper Extremity Surgery, Barcelons, Spain. garciaelias@infonegocio.com
D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D007595:Joint Prosthesis; D010149:Postoperative Pain / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D011884:Radius / Q000503:physiopathology / Q000601:surgery; D017211:Treatment Failure; D014457:Ulna / Q000503:physiopathology / Q000601:surgery*