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DRUJ Replacement Arthroplasty

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Abstract

It is a general observation that as new prosthetic options are introduced and confidence in the efficacy and longevity of the prostheses is gained that the indications for the use of such prostheses are extended and the prostheses are used earlier in the disease process with clinical benefit. This pattern of development is what we are currently experiencing with respect to DRUJ replacement arthroplasty. Recent years have seen an increasing awareness of the anatomical and biomechanical significance of the distal radioulnar joint (DRUJ). With this has come a more critical approach to surgical management of DRUJ disorders and a realization that all forms of “excisional arthroplasty” can only restore forearm rotation at the expense of forearm stability. This, in turn, has led to renewed interest in prosthetic replacement of the ulnar head, a procedure that had previously fallen into disrepute because of material failures with early implants.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, University Hospitals South Manchester Trust, Wythenshawe Hospital, Southmoor Road, Manchester, M23 9LT, UK

    Vivien C. Lees MB BChir, MD FRCS (Plast)

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  1. Vivien C. Lees MB BChir, MD FRCS (Plast)
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Correspondence to Vivien C. Lees MB BChir, MD FRCS (Plast) .

Editor information

Editors and Affiliations

  1. Hall Lane, Appley Bridge, Wrightington Hospital, Wigan, Lancashire, United Kingdom

    Ian A. Trail

  2. St George's Hospital, London, United Kingdom

    Andrew N.M. Fleming

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© 2015 Springer-Verlag London

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Lees, V.C. (2015). DRUJ Replacement Arthroplasty. In: Trail, I., Fleming, A. (eds) Disorders of the Hand. Springer, London. https://doi.org/10.1007/978-1-4471-6563-7_17

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  • DOI: https://doi.org/10.1007/978-1-4471-6563-7_17

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6562-0

  • Online ISBN: 978-1-4471-6563-7

  • eBook Packages: MedicineMedicine (R0)

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