[Aptis Prosthesis for the Treatment of Painful Instability of the Ulnar Stump Following Wide Excision of the Distal ulna].
We report the case of 35-year-old woman with severe Madelung's deformity. Having undergone a Kapandji-Sauvé-procedure with wide excision of the distal ulna, the patient suffered from painful instability of the ulnar stump. Although a corrective osteotomy of the distal radius had been performed, severe ulnar inclination of the distal radius remained, leaving persisting pain. Implantation of a constrained distal radioulnar joint prosthesis combined with a renewed extraarticular corrective osteotomy of the distal radius was performed. The peg of the radial plate of the prosthesis was placed in the screw hole of the large-fragment lag screw removed after the Kapandji-Sauvé-procedure.
Klinik für Handchirurgie, Rhön-Klinikum, Bad Neustadt a. d. Saale.
F
F
Goehtz
Klinik für Handchirurgie, Rhön-Klinikum, Bad Neustadt a. d. Saale.
M
M
Mühldorfer-Fodor
Klinik für Handchirurgie, Rhön-Klinikum, Bad Neustadt a. d. Saale.
K-J
KJ
Prommersberger
Klinik für Handchirurgie, Rhön-Klinikum, Bad Neustadt a. d. Saale.
J
J
van Schoonhoven
D000328:Adult; D019643:Arthroplasty, Replacement / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006130:Growth Disorders / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D010009:Osteochondrodysplasias / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010149:Postoperative Pain / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D017755:Prosthesis Fitting; D011859:Radiography; D012086:Reoperation; D014457:Ulna / Q000000981:diagnostic imaging / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*