Distal Ulna Leiomyosarcoma Treated with Custom Polymethylmethacrylate Prosthesis with a 4-Year Follow-up

Pacheco-Nuñez, Jose Arturo; Sheppard, Joseph E.; Mahoney, Andrew P.

doi:10.1007/s11552-014-9725-8

Cited by 1 publication

(2 citation statements)

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“…results and patient satisfaction of three patients with Madelung's deformity with a follow-up time of 2 years. Pacheco-Nuñez et al 13 suggested that a custom-made implant can be used to reconstruct the DRUJ after resection of the distal ulna due to a tumor and reported promising results in one case with a follow-up time of 4 years. On the contrary, Cooney et al 14 suggested that the reconstruction of the DRUJ is not required after the removal of a tumor in the distal end of the ulna to maintain wrist function, which is in line with the findings in this study.…”

Section: Discussionmentioning

confidence: 99%

“…To date, the literature is scarce regarding the management of complications related to the Aptis implant in wrists with more rare conditions, such as rheumatoid arthritis, congenital malformations, or tumors in the distal end of the ulna. 13,14 To this end, this study aims to describe the clinical results, management of remarkable complications, patient satisfaction regarding revision surgery, and the esthetic appearance of the wrist in this specific cohort.…”

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confidence: 99%

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Aptis Distal Radioulnar Joint Implant: Management of Remarkable Complications

Stougie,

Kemme,

Coert

et al. 2024

J Wrist Surg

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Background The aim of an Aptis distal radioulnar joint (DRUJ) implant is to reconstruct the DRUJ in patients with a destroyed, painful DRUJ, and gross ulnar instability. The literature is scarce regarding the management of (severe) early complications related to the Aptis implant in wrists with more rare conditions, such as rheumatoid arthritis, congenital malformations, or leiomyosarcoma of the distal ulna. Purpose This paper describes the clinical results, (severe) early complications related to the implant, revision surgery, patient satisfaction with the revision surgery, and esthetic appearance of the affected wrist in this specific cohort. Patients and Methods Retrospective evaluation of five consecutive patients with a short-to-medium follow-up time of 32 months (range: 18–53 months) was carried out. Results The follow-up revealed implant osseointegration failure in two cases, periprosthetic fractures in two cases, and acute carpal tunnel syndrome in one case. Three Aptis DRUJ arthroplasties were converted into a proximal Darrach. In four cases (80%), the patient was satisfied with the revision surgery due to pain reduction. In four cases (80%), the esthetic appearance of the affected wrist was found disappointing. Conclusion This study describes remarkable complications related to the Aptis implants in wrists with more rare conditions. The implant is more likely to fail in wrists with poor bone stock, remodeling of the radius, deformation, and malformation of the radius. The range of indications for the usage of the implant to maintain wrist function may be strict. Level of Evidence IV.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%