Combined semi-constrained total distal radioulnar joint (DRUJ) arthroplasty and radial head arthroplasty for severe, concomitant rheumatoid disease of the wrist and elbow joints.

Zachary Fuller, Arjun Gupta, Isabel Herzog, Joseph Weisberger, Irfan H Ahmed, Michael M Vosbikian, Ashley Ignatiuk

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Review in Journal of hand and microsurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Zachary FullerDepartment of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Arjun GuptaDepartment of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Isabel HerzogDepartment of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Joseph WeisbergerDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Irfan H AhmedDepartment of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Michael M VosbikianDepartment of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Ashley IgnatiukDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Semi-constrained total distal radioulnar joint (DRUJ) arthroplasty with Aptis-Scheker implant has demonstrated excellent results in patients with end-stage rheumatoid arthritis (RA) of the wrist. However, clinical success of the Scheker implant in restoring range of motion may be limited in patients with concomitant degenerative disease at the proximal radioulnar joint and radiocapitellar joint, which work in tandem with the DRUJ to allow pronosupination of the forearm. Among treatment options for elbow arthritis, standalone radial head arthroplasty remains poorly studied in the context of RA, despite being used widely in trauma patients. Here, we illustrate the surgical technique for combined total DRUJ arthroplasty with a Scheker implant and radial head arthroplasty to treat long-standing, refractory RA, at the wrist and elbow joints, with excellent results at 1-year follow-up.

Indexed as

Aptis-Scheker implantDistal radioulnar joint (DRUJ)Radial head arthroplastyRheumatoid arthritisTotal DRUJ arthroplasty

Identifiers

PMID40417710

DOI10.1016/j.jham.2025.100275

PMCPMC12098140

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