Abstract

Dysfunction of the distal radioulnar joint can cause significant pain and instability. The self-stabilizing APTIS distal radioulnar joint prosthesis is used as a solution for severe distal radioulnar joint pathologies. We present a case of a 60-year-old male, who received an APTIS distal radioulnar joint prosthesis which resulted in aseptic loosening within five years of the initial implantation. Infection, incorrect implantation, demographic differences and over-activity were all excluded as the source; therefore, mechanical aseptic loosening was concluded. Ultimately, two surgeries were required to resolve the patient's pain, which resulted in a one-bone forearm once the implant was extracted. The solution to a failed APTIS implant, a one bone forearm, is difficult and protracted, so every effort should be attempted to preserve distal ulna bone stock before resorting to the implantation of this device.

Document Type

Article

Publication Date

6-2019

Notes/Citation Information

Published in Trauma Case Reports, v. 21, 100196, p. 1-6.

© 2019 Published by Elsevier Ltd.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).

Digital Object Identifier (DOI)

https://doi.org/10.1016/j.tcr.2019.100196

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