{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:18:58Z","timestamp":1783433938880,"version":"3.54.6"},"reference-count":30,"publisher":"Bioscientifica","issue":"5","license":[{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"vor","delay-in-days":3514,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A severely painful, dysfunctional, or destroyed distal radio-ulnar joint (DRUJ) can be reconstructed by fusion, interposition of soft tissue, or by arthroplasty using prostheses. The objective of this study was to review the literature on implants and evaluate their effectiveness in terms of pain relief, range of motion and longevity. A search was carried out using protocols and well-defined criteria in PubMed, the Cochrane Library and by screening reference lists. The review was conducted according to PRISMA guidelines. Of the 27 publications reporting on nine different implants, we excluded reports with less than five cases and silastic replacements of the ulna head. Eighteen publications describing a total of five implants were selected for analysis. Nine of the publications were useful for the evaluation of implant longevity. Despite methodological shortcomings in many of the source documents, a summary estimate was possible. It seems that DRUJ implants have good potential to improve function through pain reduction; an improvement was observed in 17 series, although it was significant in only seven series. Instability is not uncommon with ulna head-only implants, but they cause fewer clinical problems and re-interventions than might be expected. The risk of deep infection is small with the available implants. Overall implant survival in papers with at least five years\u2019 follow-up is 95%, with a slightly better longevity of 98% for the constrained implants. Periprosthetic osteolysis\/radiolucency is frequently reported. Its causes and consequences are not clarified.<\/jats:p>\n                  <jats:p>Cite this article: Calcagni M, Giesen T. Distal radioulnar joint arthroplasty with implants: a systematic review. EFORT Open Rev 2016;1:191-196. DOI: 10.1302\/2058-5241.1.160008.<\/jats:p>","DOI":"10.1302\/2058-5241.1.160008","type":"journal-article","created":{"date-parts":[[2016,5,31]],"date-time":"2016-05-31T22:29:16Z","timestamp":1464733756000},"page":"191-196","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":28,"title":["Distal radioulnar joint arthroplasty with implants: a systematic review"],"prefix":"10.1530","volume":"1","author":[{"given":"Maurizio","family":"Calcagni","sequence":"first","affiliation":[{"name":"University Hospital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Giesen","sequence":"additional","affiliation":[{"name":"University Hospital Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2016,5,31]]},"reference":[{"key":"2026070710032329300_bibr1-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/00003086-199202000-00009","article-title":"The distal radioulnar joint in relation to the whole forearm","volume":"275","author":"Hagert","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"2026070710032329300_bibr2-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"448","DOI":"10.1016\/S0266-7681(97)80264-1","article-title":"The radiological demonstration of dynamic ulnar impingement","volume":"22","author":"Lees","year":"1997","journal-title":"J Hand Surg [Br]"},{"key":"2026070710032329300_bibr3-2058-5241.1.160008","first-page":"123","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"3","author":"Moher","year":"2009","journal-title":"Open Med"},{"key":"2026070710032329300_bibr4-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1016\/j.jhsa.2010.06.026","article-title":"A new total distal radioulnar joint prosthesis: functional outcome","volume":"35","author":"Schuurman","year":"2010","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr5-2058-5241.1.160008","first-page":"387","article-title":"Neue Konzepte der Endoprothetik des distalen Radioulnargelenkes [New concepts for endoprostheses of the distal radio-ulnar joint]","volume":"30","author":"van Schoonhoven","year":"1998","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"2026070710032329300_bibr6-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1053\/jhsu.2000.6006","article-title":"Salvage of failed resection arthroplasties of the distal radioulnar joint using a new ulnar head prosthesis","volume":"25","author":"van Schoonhoven","year":"2000","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr7-2058-5241.1.160008","first-page":"809","article-title":"Ulnakopfprothese [Ulnar head prosthesis]","volume":"32","author":"V Schoonhoven","year":"2003","journal-title":"Orthopade"},{"key":"2026070710032329300_bibr8-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1055\/s-0032-1324407","article-title":"Preliminary experience with a new total distal radioulnar joint replacement","volume":"1","author":"Ewald","year":"2012","journal-title":"J Wrist Surg"},{"key":"2026070710032329300_bibr9-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/BTH.0b013e31803261e2","article-title":"Eclypse: partial ulnar head replacement for the isolated distal radio-ulnar joint arthrosis","volume":"11","author":"Garcia-Elias","year":"2007","journal-title":"Tech Hand Up Extrem Surg"},{"key":"2026070710032329300_bibr10-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.hcl.2012.08.024","article-title":"Prosthetic arthroplasty of the distal radioulnar joint: historical perspective and 24-year follow-up","volume":"29","author":"Wehb\u00e9","year":"2013","journal-title":"Hand Clin"},{"key":"2026070710032329300_bibr11-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/0266-7681(92)90202-D","article-title":"Silicone rubber distal ulnar replacement arthroplasty","volume":"17","author":"Sagerman","year":"1992","journal-title":"J Hand Surg [Br]"},{"key":"2026070710032329300_bibr12-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1016\/0266-7681(92)90201-C","article-title":"The Swanson ulnar head prosthesis for post-traumatic disorders of the distal radio-ulnar joint","volume":"17","author":"Stanley","year":"1992","journal-title":"J Hand Surg [Br]"},{"key":"2026070710032329300_bibr13-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1016\/j.jhsa.2015.06.100","article-title":"Ulnar head replacement: 21 cases; mean follow-up, 7.5 years","volume":"40","author":"Axelsson","year":"2015","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr14-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.jhsa.2015.04.028","article-title":"Functional outcomes of the aptis-scheker distal radioulnar joint replacement in patients under 40 years old","volume":"40","author":"Rampazzo","year":"2015","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr15-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1055\/s-0033-1358544","article-title":"Objective outcomes following semi-constrained total distal radioulnar joint arthroplasty","volume":"2","author":"Bizimungu","year":"2013","journal-title":"J Wrist Surg"},{"key":"2026070710032329300_bibr16-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1055\/s-0032-1333466","article-title":"Semiconstrained distal radioulnar joint prosthesis","volume":"2","author":"Savvidou","year":"2013","journal-title":"J Wrist Surg"},{"key":"2026070710032329300_bibr17-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1016\/j.jhsa.2012.03.026","article-title":"Functional and radiographic outcomes following distal ulna implant arthroplasty","volume":"37","author":"Kakar","year":"2012","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr18-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1016\/j.jhsa.2012.04.028","article-title":"Salvage of failed resection arthroplasties of the distal radioulnar joint using an ulnar head prosthesis: long-term results","volume":"37","author":"van Schoonhoven","year":"2012","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr19-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/BTH.0b013e3181b4c52d","article-title":"Ulnar head implant arthroplasty: an intermediate term review of 1 surgeon\u2019s experience","volume":"13","author":"Yen Shipley","year":"2009","journal-title":"Tech Hand Up Extrem Surg"},{"key":"2026070710032329300_bibr20-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1177\/1753193408087118","article-title":"A study of functional outcomes following implantation of a total distal radioulnar joint prosthesis","volume":"33","author":"Laurentin-P\u00e9rez","year":"2008","journal-title":"J Hand Surg Eur Vol"},{"key":"2026070710032329300_bibr21-2058-5241.1.160008","first-page":"180","article-title":"Outcome assessment after aptis distal radioulnar joint (druj) implant arthroplasty","volume":"2","author":"Kachooei","year":"2014","journal-title":"Arch Bone Jt Surg"},{"key":"2026070710032329300_bibr22-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1016\/j.jhsa.2013.03.030","article-title":"Constrained implant arthroplasty as a secondary procedure at the distal radioulnar joint: early outcomes","volume":"38","author":"Axelsson","year":"2013","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr23-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1197\/j.jht.2008.06.002","article-title":"Functional outcomes after arthroplasty of the distal radioulnar joint and hand therapy: a case series","volume":"21","author":"Kaiser","year":"2008","journal-title":"J Hand Ther"},{"key":"2026070710032329300_bibr24-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.hcl.2010.08.001","article-title":"Periprosthetic bone resorption and sigmoid notch erosion around ulnar head implants: a concern?","volume":"26","author":"Herzberg","year":"2010","journal-title":"Hand Clin"},{"key":"2026070710032329300_bibr25-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/01.blo.0000205901.13609.70","article-title":"Treatment of failed Sauv\u00e9-Kapandji procedures with a spherical ulnar head prosthesis","volume":"445","author":"Fernandez","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"2026070710032329300_bibr26-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1016\/j.jhsa.2014.03.043","article-title":"Total joint arthroplasty of the distal radioulnar joint for rheumatoid arthritis","volume":"39","author":"Galvis","year":"2014","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr27-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1177\/1753193414523189","article-title":"Linked distal radioulnar joint arthroplasty: an analysis of the APTIS prosthesis","volume":"39","author":"Kakar","year":"2014","journal-title":"J Hand Surg Eur Vol"},{"key":"2026070710032329300_bibr28-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1055\/s-0033-1351656","article-title":"A new distal radioulnar joint prosthesis","volume":"2","author":"Schuurman","year":"2013","journal-title":"J Wrist Surg"},{"key":"2026070710032329300_bibr29-2058-5241.1.160008","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":"Willis","year":"2007","journal-title":"J Hand Surg [Am]"},{"key":"2026070710032329300_bibr30-2058-5241.1.160008","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1055\/s-0032-1333464","article-title":"Ulnar head replacement and related biomechanics","volume":"2","author":"Sauerbier","year":"2013","journal-title":"J Wrist Surg"}],"container-title":["EFORT Open Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/2058-5241.1.160008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/2058-5241.1.160008","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/1\/5\/191\/722\/2058-5241.1.160008.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article-pdf\/1\/5\/191\/722\/2058-5241.1.160008.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:04:23Z","timestamp":1783433063000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.bioscientifica.com\/eor\/article\/1\/5\/191\/134\/Distal-radioulnar-joint-arthroplasty-with-implants"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,1]]},"references-count":30,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2016,5,31]]},"published-print":{"date-parts":[[2016,5,1]]}},"URL":"https:\/\/doi.org\/10.1302\/2058-5241.1.160008","relation":{},"ISSN":["2058-5241"],"issn-type":[{"value":"2058-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,1]]}}}