{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T23:15:04Z","timestamp":1789514104482,"version":"build-2803163510"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The Aptis distal radioulnar joint (DRUJ) implant has been commonly used to replace the DRUJ and restore wrist function in patients with a severely destroyed DRUJ.<\/jats:p><jats:p>\n          Objective\u2003Promising results have been described in the literature. However, the clinical results in a multicenter setting are sparse and variable. This study evaluates the short- to midterm clinical results of 53 patients with a (mean) follow-up of 51 months.<\/jats:p><jats:p>\n          Patients and Methods\u2003Fifty-three patients (59 implants) treated between 2011 and 2020 in three different institutions were retrospectively identified in a prospectively collected database. The main indication for Aptis DRUJ arthroplasty was a destroyed DRUJ and gross distal radioulnar instability and isolated DRUJ osteoarthritis. Functional outcome, complications, and patient satisfaction were evaluated. Patients completed the Patient-Rated Wrist Evaluation (PRWE) questionnaire and an additional questionnaire about patient satisfaction and return to hobby\/work.<\/jats:p><jats:p>\n          Results\u2003Implant survival was 92%, the surgical follow-up showed many complications (64,4%), and revision surgery was needed frequently (40.7%). In 13 cases, the follow-up was longer than 5 years. Three reimplantations had to be performed and two implants were permanently explanted. In spite of this all, wrist and forearm motion as well as pain reduction was adequate and patient satisfaction was reasonable (72.2%).<\/jats:p><jats:p>\n          Conclusion\u2003The Aptis DRUJ arthroplasty is a viable option that can provide adequate wrist and forearm function after secure patient selection and surgical placement of the implant in the wrist with a good bone stock of the radius. The complication rate was found to be high, yet patient satisfaction was reasonable. In the case of secondary surgery, additional surgery seems to be needed. For primary surgery, the implant seems to be successful without complications. Different complications have been described, but further analysis is warranted to find the causes of complications and to objectify the performance of the Aptis DRUJ implant.<\/jats:p><jats:p>\n          Level of Evidence\u2003IV.<\/jats:p>","DOI":"10.1055\/s-0043-1774317","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T22:55:12Z","timestamp":1694645712000},"page":"318-327","source":"Crossref","is-referenced-by-count":4,"title":["Aptis Distal Radioulnar Joint Arthroplasty: A Multicenter Evaluation of Functional Outcomes, Complications, and Patient Satisfaction"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1261-2998","authenticated-orcid":false,"given":"Shirley D.","family":"Stougie","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4133-8396","authenticated-orcid":false,"given":"Leonieke C. van","family":"Boekel","sequence":"additional","affiliation":[{"name":"Foundation for Orthopedic Research, Care and Education, Amphia Hospital, Breda, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annechien","family":"Beumer","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Amphia Hospital, Breda, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Hoogvliet","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon D.","family":"Strackee","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Henk","family":"Coert","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,9,13]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"p1","DOI":"10.5014\/ajot.2016.015487","article-title":"Range of motion requirements for upper-limb activities of daily living","volume":"70","author":"D H Gates","year":"2016","journal-title":"Am J Occup Ther"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1177\/17531934211063608","article-title":"Clinical and radiological results of distal radioulnar joint arthroplasty with the Aptis prosthesis","volume":"47","author":"D Lambrecht","year":"2022","journal-title":"J Hand Surg Eur Vol"},{"issue":"03","key":"ref3","first-page":"180","article-title":"Outcome assessment after Aptis distal radioulnar joint (DRUJ) implant arthroplasty","volume":"2","author":"A R Kachooei","year":"2014","journal-title":"Arch Bone Jt Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/j.main.2014.09.004","article-title":"Total distal radioulnar joint prosthesis as salvage surgery in multioperated patients","volume":"33","author":"G Mart\u00ednez Vill\u00e9n","year":"2014","journal-title":"Chir Main"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.jhsa.2006.12.004","article-title":"Arthroplasty of the distal radioulnar joint using a new ulnar head endoprosthesis: preliminary report","volume":"32","author":"A A Willis","year":"2007","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/bth.0b013e318033738a","article-title":"Ulnar head replacement","volume":"11","author":"T J Herbert","year":"2007","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1053\/jhsu.2002.31734","article-title":"Analysis of dynamic distal radioulnar convergence after ulnar head resection and endoprosthesis implantation","volume":"27","author":"M Sauerbier","year":"2002","journal-title":"J Hand Surg Am"},{"issue":"275","key":"ref8","first-page":"3","article-title":"Partial excision of lower shaft of ulna for deformity following Colles's fracture. 1913","author":"W Darrach","year":"1992","journal-title":"Clin Orthop Relat Res"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1302\/0301-620X.67B1.3968131","article-title":"Ulnar impingement syndrome","volume":"67","author":"M J Bell","year":"1985","journal-title":"J Bone Joint Surg Br"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/S0363-5023(86)80228-3","article-title":"Matched distal ulnar resection","volume":"11","author":"H K Watson","year":"1986","journal-title":"J Hand Surg Am"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/S0030-5898(20)30799-9","article-title":"Implant arthroplasty for disabilities of the distal radioulnar joint. 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