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Hemiresection-interposition arthroplasty of the distal radioulnar joint has been carried out in 12 men. The indication was osteoarthritis with an intact triangular fibrocartilage, or when the fibrocartilage could be reconstructed. The average age was 41 years and average follow up for 53 months. In all the patients, there was relief of pain and a significant increase in movement and in grip strength.

The Sauvé-Kapandji procedure for treating disorders of the distal radioulnar joint DRUJ showed good results clinically and radiographically, irrespective of RA or OA.

Background: Diabetic peripheral neuropathy (DPN) changes leg muscle coordination during walking and reduces stability. The aim of this study was to determine whether rhythmic auditory stimulation (RAS) affected the gait performance of patients with DPN. Methods: Forty DPN patients (mean age, 59.1 ± 9.4 y) were randomly allocated to RAS and control groups in equal numbers. The participants in each group underwent 2 weeks of supervised rehabilitative treatment (40 min/day) as inpatients. This included walking twice a day, during which the RAS group participants walked in time with a metronome set at a self-chosen, comfortable rate. We compared gait function, lower limb muscle co-contraction, and gait stability before and after the intervention for both groups, calculated the change in score for each parameter, and assessed differences between the groups with unpaired t-tests and ANCOVA. Results: RAS was associated with significant improvement in all parameters. In the control group, there was no improvement in cadence, co-contraction, or gait stability (vertical). Compared with the control group, the RAS group showed improvement in co-contraction and gait stability. Conclusion: RAS may be helpful for improving the lower limb muscle coordination and gait function of DPN patients.

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