Failed distal ulna resection

Gregory J. Purnell, Alex M. Meyers, Raymond R. Drabicki, Alexander Payatakes, Dean G. Sotereanos

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

PURPOSE OF REVIEW: Distal radioulnar joint end-stage arthritis has historically been treated with resection of the distal ulna (the Darrach procedure). Failure following this procedure remains a difficult problem to manage. Numerous procedures have been described for salvage of a failed Darrach procedure with variable results and reproducibility in the literature. The purpose of this review is to explore the most recently described procedures, as well as those used historically for the treatment of failed distal ulna resection. RECENT FINDINGS: Recently newer endoprostheses and allograft reconstruction have been advocated for salvage treatment of failed distal ulna resection. These innovative techniques offer early promise; however, previously described distal ulnar stabilization procedures via tenodesis remain popular. SUMMARY: Current reconstruction options for failed Darrach procedure include distal ulnar stabilization via various tenodesis techniques, allograft reconstruction, and endoprosthesis. Although early results of newer techniques for salvage are encouraging, there is still insufficient evidence to determine long-term results.

Original languageEnglish (US)
Pages (from-to)334-338
Number of pages5
JournalCurrent Opinion in Orthopaedics
Volume18
Issue number4
DOIs
StatePublished - Jul 1 2007

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Ulna
Tenodesis
Allografts
Salvage Therapy
Reproducibility of Results
Arthritis
Joints

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Purnell, G. J., Meyers, A. M., Drabicki, R. R., Payatakes, A., & Sotereanos, D. G. (2007). Failed distal ulna resection. Current Opinion in Orthopaedics, 18(4), 334-338. https://doi.org/10.1097/BCO.0b013e3281c8f23e
Purnell, Gregory J. ; Meyers, Alex M. ; Drabicki, Raymond R. ; Payatakes, Alexander ; Sotereanos, Dean G. / Failed distal ulna resection. In: Current Opinion in Orthopaedics. 2007 ; Vol. 18, No. 4. pp. 334-338.
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Purnell, GJ, Meyers, AM, Drabicki, RR, Payatakes, A & Sotereanos, DG 2007, 'Failed distal ulna resection', Current Opinion in Orthopaedics, vol. 18, no. 4, pp. 334-338. https://doi.org/10.1097/BCO.0b013e3281c8f23e

Failed distal ulna resection. / Purnell, Gregory J.; Meyers, Alex M.; Drabicki, Raymond R.; Payatakes, Alexander; Sotereanos, Dean G.

In: Current Opinion in Orthopaedics, Vol. 18, No. 4, 01.07.2007, p. 334-338.

Research output: Contribution to journalReview article

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AB - PURPOSE OF REVIEW: Distal radioulnar joint end-stage arthritis has historically been treated with resection of the distal ulna (the Darrach procedure). Failure following this procedure remains a difficult problem to manage. Numerous procedures have been described for salvage of a failed Darrach procedure with variable results and reproducibility in the literature. The purpose of this review is to explore the most recently described procedures, as well as those used historically for the treatment of failed distal ulna resection. RECENT FINDINGS: Recently newer endoprostheses and allograft reconstruction have been advocated for salvage treatment of failed distal ulna resection. These innovative techniques offer early promise; however, previously described distal ulnar stabilization procedures via tenodesis remain popular. SUMMARY: Current reconstruction options for failed Darrach procedure include distal ulnar stabilization via various tenodesis techniques, allograft reconstruction, and endoprosthesis. Although early results of newer techniques for salvage are encouraging, there is still insufficient evidence to determine long-term results.

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Purnell GJ, Meyers AM, Drabicki RR, Payatakes A, Sotereanos DG. Failed distal ulna resection. Current Opinion in Orthopaedics. 2007 Jul 1;18(4):334-338. https://doi.org/10.1097/BCO.0b013e3281c8f23e