Complications of Scheker semiconstrained distal radioulnar joint arthroplasty in a low-volume unit

被引:7
作者
Paakkonen, Markus [1 ,2 ]
机构
[1] Univ Turku, Turku Univ Hosp, Dept Hand Surg, Div Dis Musculoskeletal Syst, Luolavuorentie 2,PL 28, Turku 20701, Finland
[2] TYKS Kirurginen Sairaala, CoE TYKS ORTO, Luolavuorentie 2,PL 28, Turku 20701, Finland
关键词
Wrist; Arthroplasty; Distal radioulnar joint; Rheumatoid arthritis; Osteoarthritis; IMPLANT ARTHROPLASTY;
D O I
10.1016/j.hansur.2022.03.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Semiconstrained arthroplasty of the distal radioulnar joint (DRUJ) (Scheker prosthesis, Aptis Medical, Glenview, KY, USA) is a treatment option in case of irreparable destruction of the DRUJ. In our unit, a Scheker endoprosthesis was implanted in 5 wrists in 4 patients. 3/5 wrists (60%) in 3/4 patients (75%) underwent revision surgery. Reasons for revision surgery were implant loosening, periprosthetic fracture of the radius and suspicion of periprosthetic infection. Asymptomatic loosening of the screw of the radial head cover was detected in one wrist. Scheker arthroplasty is technically demanding. The prosthesis is prone to failure over the long term. Before implantation, all patients should be informed of the high risk of revision surgery. (c) 2022 SFCM. Published by Elsevier Masson SAS. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
引用
收藏
页码:441 / 444
页数:4
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