title: Primary combined replacements for treatment of distal radius physeal arrest.
abstract: This is a case report of a 59-year-old female patient with a posttraumatic growth arrest of the distal radius, leading to radioscaphoid osteoarthritis, carpal instability, and a symptomatic ulnocarpal impaction syndrome that was successfully treated with combined total wrist arthroplasty and ulnar head implant. One year postoperatively, there was no change in position without any signs of loosening of both implants. Both subjectively and functionally, all clinical parameters-Disabilities of the Arm, Shoulder, and Hand (DASH), visual analog scale (VAS), grip strength-had improved.
  
  
  METHODS
  IV.
authors.affiliation: Praxisklinik Jena, Jena, Germany ; Consultant Hand Surgery, Hospital Schleiz GmbH, Department of Traumatology /Orthopedics / Sportsmedicine, Chief Surgeon: Dipl.-med. Ch. Stroemer, Berthold-Schmidt, Schleiz, Germany.
authors.forename: Ingo
authors.initials: I
authors.lastname: Schmidt
keywords: distal radius; growth arrest; physeal fracture; total wrist arthroplasty; ulnar head implant
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