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Abstract：
Background Severely destroyed wrists can be managed by combined radiocarpal and distal radioulnar joint (DRUJ) replacement that reduces pain while mobility is ought to be reserved. The combination of these arthroplasties is rarely reported in the literature. Purpose This article describes the clinical outcomes of six consecutive patients with both total wrist and Aptis DRUJ arthroplasty with a median follow-up of 50 months (range: 18-108 months). Patients and Methods Patients with a TWA combined with an Aptis DRUJ arthroplasty were retrospectively identified. The patients were treated between 2011 and 2020. Results The flexion-extension arc was slightly decreased in three cases while forearm rotation was improved in three patients. Pain was adequately reduced in four patients and significant pain was seen in two patients. Although three of four patients could not return to previous work, all patients claimed to be satisfied with the result of the procedure. Conclusion This article demonstrates the possible feasibility of this combined arthroplasty in patients with a destroyed and unstable wrist. Level of Evidence Level III.
摘要：
背景技术严重受损的手腕可以通过radi腕和尺尺尺关节（DRUJ）联合置换来治疗，从而减轻疼痛，同时应保留活动性。这些关节成形术的组合在文献中很少报道。目的本文描述了6例连续患者的临床结果，这些患者同时接受全腕关节和AptisDRUJ关节置换术，中位随访时间为50个月（范围：18-108个月）。患者和方法回顾性分析TWA合并AptisDRUJ关节置换术的患者。这些患者在2011年至2020年期间接受治疗。结果3例患者屈伸弧度略有下降，前臂旋转改善。四名患者的疼痛充分减轻，两名患者的疼痛明显。尽管四名患者中有三名无法恢复以前的工作，所有患者都声称对手术结果感到满意。结论本文证明了这种联合关节置换术在腕关节受损和不稳定的患者中的可能可行性。证据等级III级。
