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Salvage Procedure for Failed Bowers' Hemiresection Interposition Technique in the Distal Radioulnar Joint

From the Division of Hand Surgery, Virgen de la Torre Hospital, Madrid, Spain and the Department of Orthopaedic Surgery, Lindenhof Hospital, Berne, Switzerland

Correspondence: Dr D. L. Fernandez, Mittelstrasse 54, CH-3012 Berne, Switzerland.

Three patients who continued to have distal radioulnar joint pain following Bowers' hemiresection interposition technique were treated by converting the resection arthroplasty into a Sauvé-Kapandji procedure. The resected 10 mm segment from the distal ulnar metaphysis was used as an interposition bone graft in the arthrodesis site, placed between the sigmoid notch of the radius and distal end of the ulna. After a minimum follow-up of 3 years, all three patients were satisfied with the procedure, were pain-free, and the preoperative range of wrist and forearm motion had increased. All three returned to their previous working activities.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 6, 749-753 (1998)
DOI: 10.1016/S0266-7681(98)80089-2


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