Table 3.
Prostheis type,synonymous advantages,Disadvantages,Indications & contraindications
| Prostheis type | synonymous | advantages | Disadvantages | Indications & contraindications |
|---|---|---|---|---|
| Partial Ulnar head replacement DRUJ prosthesis | resurfacing | TFCC peresering, axial load preservation through ulna | radial notch erosion scondary to DRUJ mismatch | a good choice in patients with intact DRUJ ligaments but joint osteoarthritis |
| Complete ulnar head replacement DRUJ prosthesis | unipolar | Can be used in TFCC injuries | radial notch erosion scondary to DRUJ mismatch, DRUJ instability | A good choice in failed Darrach procedure |
| Multicomponent DRUJ prosthesis | Total | DRUJ mismatch will not happened | the TFCC is scarified, axial force transmit only through radiocarpal joint, needs vast dissection of soft tissue to place radial component, tenosynovitis | Good choice in other failed procedures |
| Kapandji extension DRUJ prosthesis | intra-osseous | TFCC sparing, simply converting to Kapandji procedure | teoricaly may affect forearm axial ROM | indicted when the TFCC is intact or with minor defect, good choice in failed Kapandji procedure |