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The mean postoperative range of motion of the wrist improved by 9\u00b0 for extension, 15\u00b0 for flexion, 10\u00b0 for pronation and 14\u00b0 for supination, achieving values equivalent to 88%, 78%, 97% and 88% of those of the non-operated hand. There were minimal changes in radial and ulnar deviations. Grip strength improved by 7\u2009kg, pain decreased by 8 points, QuickDASH and Mayo wrist scores improved by 51 and 53 points, respectively. Two implants had radiolucency less than 1\u2009mm. Serum titanium ion levels were slightly elevated in two patients. Three prostheses required revision surgery for heterotopic ossification, a prominent radial screw and a periprosthetic fracture. No prostheses were removed. Six patients returned to their former professional activities and four patients adapted their jobs.<\/jats:p>\n                  <jats:p>Level of evidence: IV<\/jats:p>","DOI":"10.1177\/17531934231192375","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T10:57:47Z","timestamp":1695639467000},"page":"82-90","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Long-term results of the Aptis\n                    <sup>TM<\/sup>\n                    total distal radioulnar joint prosthesis after previous failed surgical procedures"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4485-9433","authenticated-orcid":false,"given":"Gregorio","family":"Mart\u00ednez Vill\u00e9n","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Traumatology (Hand and Reconstructive Surgery Unit), Miguel Servet University Hospital, Zaragoza, 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