Universität zu Köln

Spies, C. K., Unglaub, F., Bruckner, T., Mueller, L. P., Eysel, P. and Seker, M. (2022). Mid- to long-term functional results after Bowers' hemiresection interposition arthroplasty of the distal radio-ulnar joint. Orthopadie, 51 (7). S. 556 - 564. NEW YORK: SPRINGER. ISSN 2731-7153

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Abstract

Background Bowers' hemiresection interposition arthroplasty of the distal radio-ulnar joint has been performed for decades, mainly for the treatment of osteoarthritis of the distal radio-ulnar joint. However, long-term test results are sparse. Objective Evaluation of a homogeneous patient population following a mid- to long-term postoperative follow-up interval after hemiresection interposition arthroplasty. Patients and methods Twenty-five patients were evaluated 77.2 (+/- 34.6) months after surgical therapy with regard to range of motion, grip strength and pain level. The subjective and objective scores DASH (Disabilities of Arm, Shoulder, and Hand) and MMWS (modified Mayo Wrist Score) were collected. Results Wrist mobility is not worse than 10.4 degrees in relation to all directions of wrist movement compared with the healthy opposite side. Coarse grip strength is reduced by an average of 5.8 kg compared with the opposite side. The pain level decreased on average from 8.2 preoperatively to 1.8 postoperatively. Postoperatively, 22 patients (88 %) had a stable distal radio-ulnar joint. At the time of follow-up DASH averaged 26.7 (+/- 21.4) and the MMWS averaged 78 (+/- 15.7). Discussion Hemiresection interposition arthroplasty is a reliable and safe surgical technique with good subjective and functional outcomes in the mid- to long-term.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruckner, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Seker, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-671645
DOI:	10.1007/s00132-022-04237-6
Journal or Publication Title:	Orthopadie
Volume:	51
Number:	7
Page Range:	S. 556 - 564
Date:	2022
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	2731-7153
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR FIBROCARTILAGE COMPLEX; COMPUTERIZED-TOMOGRAPHY; WRIST; SUBLUXATION; DIAGNOSIS; OSTEOARTHRITIS; RADIOGRAPHY; DISLOCATION; EVOLUTION Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67164