{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:47:16Z","timestamp":1754146036801,"version":"3.41.2"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Background\u2003Salvage procedures for failed total wrist arthroplasty have variable results and limitations such as donor site morbidity, malunion, delayed or nonunion. We present a case of substantial bone loss after failed wrist arthroplasty and a surgical technique in which the distal ulna is transferred and intussuscepted to achieve union between the residual distal radius and metacarpals.<\/jats:p><jats:p>\n               Case Description\u2003A 48-year-old female with rheumatoid arthritis presented with wrist prosthetic joint infection 16 years after total wrist arthroplasty. With extensive bone loss following implant removal and multiple debridements, the remaining distal ulna was resected and intussuscepted between the residual radius and second and third metacarpals. The patient achieved incorporation of the graft at 12 weeks and fusion at 20 weeks, with resolution of pain and restoration of digit function at 2 years.<\/jats:p><jats:p>\n               Literature Review\u2003Standard means of wrist arthrodesis utilizing iliac crest autograft and femoral head allograft may be limited to address substantial bone loss following total wrist implant removal. Intussusception has been utilized in the elbow, hip, and diaphysis to optimize graft\u2013host bone contact and achieve union. While ulna-utilizing procedures have been described for oncologic and traumatic indications, to our knowledge, double intussusception has not been described for salvage procedures after failed wrist arthroplasty.<\/jats:p><jats:p>\n               Clinical Relevance\u2003Intussuscepting the distal ulna within the distal radius and metacarpals as an interpositional arthrodesis provides autologous graft, increased surface contact, and length restoration in cases of poor bone quality and significant bone loss following revision of a total wrist implant.<\/jats:p>","DOI":"10.1055\/s-0044-1786188","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T19:49:31Z","timestamp":1721245771000},"page":"366-373","source":"Crossref","is-referenced-by-count":0,"title":["Wrist Arthrodesis with Double Ulna Intussusception for Failed Wrist Arthroplasty"],"prefix":"10.1055","volume":"14","author":[{"given":"Mikaela H.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua J.","family":"Meaike","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bassem T.","family":"Elhassan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Massachusetts General Hospital, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2886-1510","authenticated-orcid":false,"given":"Sanjeev","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"volume-title":"Wrist Arthritis","author":"H Akhondi","key":"ref1"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1002\/ajim.10117","article-title":"Self-reported hand and wrist arthritis and occupation: data from the U.S. National Health Interview Survey-Occupational Health Supplement","volume":"42","author":"C Dillon","year":"2002","journal-title":"Am J Ind Med"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1142\/S0218810415500112","article-title":"Patient related functional outcome after total wrist arthroplasty: a single center study of 206 cases","volume":"20","author":"M Sagerfors","year":"2015","journal-title":"Hand Surg"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1177\/1753193414539796","article-title":"Total wrist arthroplasty: a systematic review of the evidence from the last 5 years","volume":"40","author":"D Yeoh","year":"2015","journal-title":"J Hand Surg Eur Vol"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/0363-5023(92)90470-A","article-title":"Salvage for failed implant arthroplasty of the wrist","volume":"17","author":"D C Ferlic","year":"1992","journal-title":"J Hand Surg Am"},{"issue":"342","key":"ref6","first-page":"84","article-title":"Failed total wrist arthroplasty. 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