Functional Outcomes of the Aptis-Scheker Distal Radioulnar Joint Replacement in Patients Under 40 Years Old

Rampazzo, Antonio; Gharb, Bahar Bassiri; Brock, Guy; Scheker, Luis R.

doi:10.1016/j.jhsa.2015.04.028

Cited by 48 publications

(53 citation statements)

References 34 publications

(35 reference statements)

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“…In four papers, grip strength was significantly improved, 14,18,29-30 whilst in another four papers, grip strength was not reported.…”

Section: Clinical Resultsmentioning

confidence: 92%

“…The PRWE score was reported in seven papers and was significantly improved in three of them, which were all Type 3 implants. 14,26-27 The Mayo Clinic score was reported in six papers and was significantly improved in four of them; 14,17,26,29 two papers reported Type 2 implants and two papers Type 3 implants.…”

Section: Clinical Resultsmentioning

confidence: 97%

“…13-14,17-18,24,26-30 Two of these papers showed a statistical improvement in pain in 80% of cases. 26,27 The other eight papers did show improvement in the VAS for pain, but it was either not statistically significant, or a statistical analysis was not performed.…”

Section: Clinical Resultsmentioning

confidence: 98%

“…The DASH score was reported in 11 papers, and was significantly improved in four of them, 14,22,26-27 all of which were Type 3 implants. The PRWE score was reported in seven papers and was significantly improved in three of them, which were all Type 3 implants.…”

Section: Clinical Resultsmentioning

confidence: 99%

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Distal radioulnar joint arthroplasty with implants: a systematic review

Calcagni

Giesen

2016

EFORT Open Reviews

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A severely painful, dysfunctional, or destroyed distal radio-ulnar joint (DRUJ) can be reconstructed by fusion, interposition of soft tissue, or by arthroplasty using prostheses.The objective of this study was to review the literature on implants and evaluate their effectiveness in terms of pain relief, range of motion and longevity.A search was carried out using protocols and well-defined criteria in PubMed, the Cochrane Library and by screening reference lists. The review was conducted according to PRISMA guidelines.Of the 27 publications reporting on nine different implants, we excluded reports with less than five cases and silastic replacements of the ulna head. Eighteen publications describing a total of five implants were selected for analysis. Nine of the publications were useful for the evaluation of implant longevity. Despite methodological shortcomings in many of the source documents, a summary estimate was possible.It seems that DRUJ implants have good potential to improve function through pain reduction; an improvement was observed in 17 series, although it was significant in only seven series.Instability is not uncommon with ulna head-only implants, but they cause fewer clinical problems and re-interventions than might be expected.The risk of deep infection is small with the available implants.Overall implant survival in papers with at least five years’ follow-up is 95%, with a slightly better longevity of 98% for the constrained implants.Periprosthetic osteolysis/radiolucency is frequently reported. Its causes and consequences are not clarified.Cite this article: Calcagni M, Giesen T. Distal radioulnar joint arthroplasty with implants: a systematic review. EFORT Open Rev 2016;1:191-196. DOI: 10.1302/2058-5241.1.160008.

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“…In four papers, grip strength was significantly improved, 14,18,29-30 whilst in another four papers, grip strength was not reported.…”

Section: Clinical Resultsmentioning

confidence: 92%

Section: Clinical Resultsmentioning

confidence: 97%

Section: Clinical Resultsmentioning

confidence: 98%

Section: Clinical Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Distal radioulnar joint arthroplasty with implants: a systematic review

Calcagni

Giesen

2016

EFORT Open Reviews

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“…These include arthritis either isolated or in conjunction with prior trauma or inflammation, instability, or failed prior reconstructive procedures. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Placement of the radial component of the implant at or near the original sigmoid notch will optimize its overall function and limit/undo stresses on both components of the implant. In the face of prior wrist surgeries, this may prove technically more difficult.…”

mentioning

confidence: 99%

Distal Radioulnar Joint Replacement in the Scarred Wrist

et al. 2018

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Background Radiocarpal or midcarpal arthritis can occur simultaneously with arthritis of the distal radioulnar joint (DRUJ), leading to functional impairment of the wrist. Treatment often involves wrist arthroplasty or arthrodesis, either with simultaneous or secondary procedures, addressing the DRUJ. Successful treatment of solitary DRUJ arthritis with DRUJ replacement has been reported. However, outcomes in patients with multiple prior wrist surgeries are lacking. Surgery in these wrists is challenging because surgical scarring and advanced bone deformities make implant positioning more difficult. Therefore, the aim of this study was to evaluate the outcomes in patients that underwent total wrist arthrodesis and DRUJ replacement after multiple prior wrist surgeries. Methods We prospectively enrolled patients that underwent total wrist arthrodesis and replacement of the DRUJ, either simultaneously or during separate procedures from 1999 to 2012. We included 14 patients with a median age of 43 years (interquartile range [IQR]: 35–47). As objective outcomes range of motion, weight-bearing ability, grip strength, was measured. For the subjective outcomes, we used an analogue pain score and the disabilities of the arm shoulder and hand (DASH) scores. Results At a median follow-up of 5.6 years (IQR: 3.2–7.1). The average DRUJ range of motion and weight lifting ability significantly improved. As for the subjective evaluations, postoperative pain scores improved significantly, as did the DASH scores. Four of the patients had a postoperative complication, including infection and heterotopic ossification, of which two required reoperations. Additionally, 5 patients developed pisotriquetral arthritis requiring, pisiform excision, triquetrum excision, or the combination of both. Conclusion Distal radioulnar joint replacement with a semiconstrained prosthesis was an effective method to restore the function of the wrist and forearm. As the surgical anatomy and soft tissue envelope were compromised in these patients, additional surgical exposure is necessary, adding to the complexity in these patients. No radiographic loosening Level of Evidence This is a therapeutic level IV study.

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Distal Radial–Ulnar Joint

Suh

2021

Evidence‐Based Orthopedics

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Functional Outcomes of the Aptis-Scheker Distal Radioulnar Joint Replacement in Patients Under 40 Years Old

Cited by 48 publications

References 34 publications

Distal radioulnar joint arthroplasty with implants: a systematic review

Distal radioulnar joint arthroplasty with implants: a systematic review

Distal Radioulnar Joint Replacement in the Scarred Wrist

Distal Radial–Ulnar Joint

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