gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Article

Send article

Survival of Aptis Distal Radioulnar Joint (DRUJ) Implant Arthroplasty

Meeting Abstract

Search Medline for

  • presenting/speaker Hans Tromborg - Odense University Hospital, Odense C., Denmark

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1331

doi: 10.3205/19ifssh1400, urn:nbn:de:0183-19ifssh14007

Published: February 6, 2020

© 2020 Tromborg.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objectives/Interrogation: The purpose of this study was to report survival of the Aptis Distal Radioulnar Joint Implant Arthroplasty (Aptis).

Methods: We performed a retrospective review of patients who had at least 1 year follow up after Aptis arthroplasty from 2013 to 2017. Mean follow up was 3 years (1-5 years). Of 102 consecutive patients 1 was lost to follow up and was excluded. In our database we had one year follow up of functional outcome (DASH). Fifty six patients were treated with the Aptis as primary indication (instability and pain without prior surgery to the DRUJ) and 46 patients with the Aptis as rescue indication (pain after earlier ulnar resection, Sauve-Karpandi, other arthroplasties a.o.)

Results and Conclusions: DASH score improved from 58 (14) to 30 (15) after one year (n=102), (p<<0.01). Grip strength improved from 10 (8) kg to 25 (7) kg (p<<0.01).

Seventeen percent needed minor surgery (surgery to relieve pain due to synovitis of extensor tendons in 1st, 5th and 6th Compartment.

Five patients (5%) needed Removal of the Aptis, of these two Aptis were removed and treated with One-bone forearms and 3 had a revision arthroplasty due to infection with a functional Aptis at follow up.

All but two patients (98%) had a functional Aptis at follow up.

We have had good results with the Aptis Distal Radioulnar Joint Implants with significant improvement of grip strengths, DASH score and a 95% survival after 3 years (1-5 years).