This article describes the journey the authors took in discovering a new distal radioulnar joint prosthesis. The beginning deals with the problems we can potentially create for patients when we blindly follow the literature without any critical thinking. By challenging the established thinking on the function of the forearm, a new way of looking at the distal radioulnar joint emerged. Through trial, error and a moment of desperation, a new solution was found that allow us to relive pain and improve function for our patients with distal radioulnar joint pathologies.
AcostaRHnatWSchekerLR.Distal radio-ulnar ligament motion during supination and pronation. J Hand Surg Br. 1993,
18: 502–5.
2.
AdamsBD.Anatomic reconstruction of the distal radioulnar ligaments for DRUJ instability. Tech Hand Up Extrem Surg. 2000,
4: 154–60.
3.
af EkenstamFHagertCG.Anatomical studies on the geometry and stability of the distal radio ulnar joint. Scan J Plast Reconst Surg. 1985,
19: 17–25.
4.
BowersWH.Distal radioulnar joint arthroplasty: the hemiresection-interposition technique.J Hand Surg Am. 1985,
10: 169–78.
5.
CooneyWPLinscheidRLDobynsJH.Triangular fibrocartilage tears. J Hand Surg Am. 1994,
19: 143–54.
6.
DarrachW.Forward dislocation at the inferior radioulnar joint, with fracture of the lower third of the shaft of radius. Ann Surg. 1912,
56: 801–3.
7.
De SmetLFabryG.Orientation of the sigmoid notch of the distal radius: determination of different types of the distal radioulnar joint.Acta Orthop Belg. 1993,
59: 269–72.
8.
GalvisEJPessaJSchekerLR.Total joint arthroplasty of the distal radioulnar joint for rheumatoid arthritis. J Hand Surg Am. 2014,
39: 1699–704.
9.
JacksonITMilwardTMLeePWebbJ.Ulnar head resection in rheumatoid arthritis Hand. J Hand Surg Am. 1974,
6: 172–80.
10.
KanayaFOgdenLBreidenbachWCTsaiTMSchekerL.Sensory and motor fiber differentiation with Karnovsky staining. J Hand Surg Am. 1991,
16: 851–8.
11.
KingGJMcMurtryRYRubensteinJDGertzbeinSD.Kinematics of the radioulnar joint. J Hand Surg Am. 1986,
11: 798–804.
12.
KleinertHEKasdanML.Anastamosis of digital vessels. J Ky Med Assoc. 1965,
63: 106–8.
13.
Laurentin-PerezLAGoodwinANBabbBASchekerLR.A study of functional outcomes following implantation of a total distal radioulnar joint prosthesis. J Hand Surg Eur. 2008,
33: 18–28.
14.
LeesVCSchekerLR.The radiologic demonstration of dynamic ulnar impingement. J Hand Surg Br. 1997,
22: 448–50.
15.
LinscheidRL.Biomechanics of the distal radioulnar joint. Clin Orthop Relat Res. 1992,
275: 45–55.
16.
LundborgGRankF.Experimental intrinsic healing of flexor tendons based upon synovial fluid nutrition. J Hand Surg Am. 1978,
3: 21–31.
17.
MandiaFGutierrezRLópez AlonzoADiaz-FloresL.Comportamiento biológico de implantes tendinosos autogenos intraarticulares. Interfase con los distintos medios receptores. Rev Esp de Cir Ort. 1990, 63–72.
18.
PalmerAKWernerFW.The triangular fibrocartilage complex of the wrist-anatomy and function. J Hand Surg Am. 1981,
6: 153–62.
19.
RampazzoAGharbBBBrockGSchekerLR.Funtional outcomes of the Aptis-Scheker distal radioulnar joint replacement in patients under 40 years old. J Hand Surg Am. 2015,
40: 1397–403.
20.
ShaabanHGiakasGBoltonMWilliamsRSchekerLRLeesVC.The distal radioulnar joint as a load-bearing mechanism—a biomechanical study. J Hand Surg Am. 2004,
29: 85–95.
21.
SauvéLKapandjiM.Nouvelle technique de traitement chirurgical des luxation récidivantes isolées de l’extrémité inférieure de cubitus. J Chir (Paris). 1936,
47: 589–94.
22.
SchekerLR.Implant arthroplasty for the distal radioulnar joint. J Hand Surg Am. 2008,
33: 1639–44.
23.
SchekerLRBelliappaPPAcostaRGermanDS.Reconstruction of the dorsal ligament of the triangular fibrocartilage complex.J Hand Surg Br. 1994,
19: 310–8.
24.
SchekerLROzerK.Ligamentous stabilization of the distal radioulnar joint. Tech Hand Up Extrem Surg. 2004,
8: 239–46.
25.
SchekerLRSeveroA.Ulnar shortening for the treatment of early post-traumatic osteoarthritis at the distal radioulnar joint. J Hand Surg Eur. 2001,
26: 1: 41–4.
26.
SchekerLRvon SchroederH.Dorsal stabilization of the distal radioulnar joint. Tech Hand Up Extrem Surg. 1998,
2: 234–41.
27.
TaylorGIMillerGDHamFJ.The free vascularized bone graft: a clinical extension of microvascular techniques.Plast Reconstr Surg, 1975,
55: 533–54.
28.
ThiruRGFerlicDCClaytonMLMcClureDC.Arterial anatomy of the triangular fibrocartilage of the wrist and its surgical significance. J Hand Surg Am. 1986,
11: 258–63.
29.
TolatARStanleyJKTrailIA.A cadaveric study of the anatomy and stability of the distal radioulnar joint in the coronal and transverse planes. J Hand Surg Br. 1996,
21: 587–94.
30.
Tsuruta T, Rosales RS, Scheker LR. Evaluation of reconstructions of the unstable distal ulna. Hand Surgery. 1996, 1: 167–75.
31.
WardLDAmbroseCGMassonMVLevaroF.The role of the distal radioulnar ligaments, interosseous membrane, and joint capsule in distal radioular joint stability. J Hand Surg Am. 2000,
25: 341–51.
