DRUJ Arthritis

 

DRUJ ArthritisDRUJ Arthritis

 

Options

 

Darrach's

- distal ulna excision

- best for elderly RA patient

 

Bower's interpositional hemiarthoplasty

 

Technique

- best for young OA

- excision of arthritic portion through 5/6 compartment / hemiresection

- intact TFCC for interposition

 

Indications

- young OA

- not suitable in RA as TFCC damaged

 

DRUJ Hemiresection

 

Suav-Kapanji

 

Technique

- distal radio-ulna arthrodesis with distal ulna pseuodoarthrosis

- distal ulna fused to distal radius with 2 screws

- distal ulna stabilised with half FCU

- interposition with pronator quadratus

 

DRUJ Replacement

 

DRUJ ReplacementDRUJ Replacement