From amputation to limb salvage reconstruction: evolution and role of the endoprosthesis in musculoskeletal oncology.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 18. Hand Clin. 2010 Nov;26(4):529-41. doi: 10.1016/j.hcl.2010.05.004. Salvage of failed distal radioulnar joint reconstruction. Watts AC(1), Hayton MJ, Stanley JK. Author information: (1)Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, WN6 9EP, UK. adamcwatts@hotmail.com In the patient in whom primary distal radioulnar joint surgery has failed, consideration must be given to the anatomy and biomechanics of the native joint; how this has been disrupted by injury, disease, and previous trauma; and what is required to reconstruct the joint. The forearm relies on a congruent condylar cam of the distal ulna, with intact soft tissue restraints for normal biomechanics. Surgical reconstruction using tendon graft, autologous bone graft, allograft interposition, and prosthetic reconstruction are discussed in this article. If these procedures fail, then salvage procedures including wide excision of the ulna or one-bone forearm can be performed. Copyright © 2010 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2010.05.004