Tendon allograft interposition for failed distal ulnar resection: 2- to 14-year follow-up

The Journal of Hand Surgery
D G SotereanosBenjamin G Williams

Abstract

To evaluate the mid- to long-term outcome of distal radioulnar interposition arthroplasty using an Achilles allograft for salvage of painful instability after distal ulnar resection. Twenty-six patients with an average age of 43 years were treated with Achilles tendon allograft interposition for failed distal ulnar resection. The average follow-up period was 79 months (range, 25-174 mo). Patients had an average of 2 previous procedures. All patients were evaluated clinically and radiographically. At the final follow-up, pain level, satisfaction, forearm rotation, grip strength, and Mayo Modified Wrist Score were assessed. All clinical parameters demonstrated statistically significant improvement at the final follow-up. Mean patient pain scores improved from 8.1 to 1.3, and patient satisfaction scores improved by an average of 6.8 points. Preoperative and postoperative forearm rotation and grip strength measurements improved by an average of 28° in pronation, 41° in supination, and 72% in grip strength. The mean Mayo Modified Wrist Score improved from 42 to 85. Postoperative radiographs showed preservation of an adequate space between the distal radius and the resected distal ulna. No postoperative infections and no foreign body...Continue Reading

References

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Nov 6, 2008·The Journal of Hand Surgery·Luis R Scheker
Jan 18, 2014·Journal of Wrist Surgery·Loukia K PapatheodorouDean G Sotereanos

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Citations

Jul 16, 2014·The Journal of Hand Surgery·Warren C Hammert
Nov 26, 2015·Archives of Orthopaedic and Trauma Surgery·Hermann KrimmerChristian K Spies
May 3, 2015·Hand Clinics·Kagan Ozer
May 3, 2015·Hand Clinics·Michael P GasparEon K Shin
Jun 22, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hernekamp Jochen-FrederickKremer Thomas
Aug 24, 2017·Hand : Official Journal of the American Association for Hand Surgery·Sunishka M WimalawansaIlse Degreef
Apr 13, 2021·The Journal of Hand Surgery, European Volume·Lisa ReissnerLadislav Nagy

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