Table of Contents
What is DRUJ arthroplasty?
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.
What is the schecker implant?
The Scheker prosthesis was designed for patients who are symptomatic after ablation of the DRUJ from trauma or prior surgical resection. It uses a two plate and ball design, which has a unique appearance on post-operative radiographs.
How do you fix DRUJ?
Gently retract the displaced ulnar head in order to inspect the interior of the joint for interposed soft-tissue or cartilage fragments. Clear the joint, reduce the ulnar head, usually by supination, and suture the torn edges of the articular capsule using interrupted resorbable sutures.
What is the DRUJ of the wrist?
The region towards the wrist is called the distal end. Distal radioulnar joint (DRUJ) is a pivot type synovial joint located between the radius and the ulna just proximal to the wrist joint and assists in pronation and supination of the forearm. The joint is critical to the working of the forearm as a mechanical unit.
What is DRUJ?
The distal radioulnar joint (DRUJ) is part of the complex forearm articulation that includes proximal radioulnar joint (PRUJ), forearm bones, and interosseous membrane (IOM) allowing pronosupination. It is functionally and anatomically integrated with the ulnocarpal articulation of wrist.
What is DRUJ instability?
Distal radioulnar joint instability is the abnormal orientation or movement of the radius and ulna bones at the wrist in relation to one another. Injury to the tendons, ligaments and/or muscles stabilizing the joint may cause partial or complete dislocation.
What is Sauve Kapandji procedure?
In 1936, Sauvé and Kapandji described a procedure that included an arthrodesis across the distal radioulnar joint and created a pseudarthrosis of the ulna, proximal to the fusion, to restore pronation and supination.
When can I remove DRUJ K wire?
K wires were removed after 1 month and reduction throughout the range of wrist rotation was assessed fluoroscopically. DRUJ was found to be stable bilaterally. Wrist mobilization in sagittal plane was begun at 1 month. Coronal plane movements were initiated after 6 weeks.
How long does DRUJ take to heal?
Our approach to patients with clinical evidence of DRUJ instability seen soon after the causative wrist trauma has been to immobilize the affected wrist and elbow for 6 weeks and restrict heavy lifting and sports activity for 6 months after the injury.
What does DRUJ stand for?
Distal radioulnar joint (DRUJ) is a pivot type synovial joint located between the radius and the ulna just proximal to the wrist joint and assists in pronation and supination of the forearm. The joint is critical to the working of the forearm as a mechanical unit.
What is Kapandji technique?
The intrafocal technique of Kapandji is a well – established method of reduction and fixation of the distal radial fractures in the adult population, and the authors of this study have used it during their practice in this institution for many years.
How is K wire fixation done?
K-wires are stiff straight wires (commonly called pins) inserted during an operation to help hold a fractured bone in the correct position for healing. Your child will have a dressing to cover the K-wires, and a backslab or splint in place for three to four weeks.
What is a sauve Kapandji procedure?
What causes distal radioulnar joint (DRUJ) arthroplasty with Scheker prosthesis?
We report a case of distal radioulnar joint (DRUJ) arthroplasty with a Scheker prosthesis. Arthropathy of the DRUJ can occur as the result of a variety of mechanisms, including inflammatory arthritis, osteoarthritis, and post-traumatic arthritis.
What is a Scheker prosthesis?
The Scheker prosthesis was designed for patients who are symptomatic after ablation of the DRUJ from trauma or prior surgical resection. It uses a two plate and ball design, which has a unique appearance on post-operative radiographs. We report the case of a 28 year old man who sustained a rotary injury to his wrist.
How are druj prostheses used for distal ulnar resection?
Several DRUJ prostheses have been developed to replace the mechanical function of the ulnar head in patients with pain related to distal ulnar resection and post-traumatic arthritis. However, most of them are designed to be used in patients with intact soft tissue and stabilizing ligaments at the DRUJ.
What is the duration of follow-up after druj replacement?
Methods: We performed a retrospective study selecting all patients under age 40 years, with a clinical and radiological follow-up longer than 2 years, who underwent DRUJ replacement. Patients’ charts were reviewed and age at surgery, profession, hobbies, comorbidities, diagnosis, previous procedures, and complications were recorded.