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Hand Clin. 1998 May;14(2):265-77.

The indications for and techniques and outcomes of ablative procedures of the distal ulna. The Darrach resection, hemiresection, matched resection, and Sauvé-Kapandji procedure.

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Department of Orthopedic Surgery, Baylor College of Medicine Houston, Texas, USA.


Several ablative procedures exist for the treatment of distal radio-ulnar joint arthritis. This article describes the indications, techniques, pitfalls, and outcomes for the four most popular procedures: Darrach, hemiresection-interposition, Sauvé-Kapandji, and matched ulnar resection. The authors explain their personal algorithm for treatment selection, emphasizing patient requirements versus the physiologic characteristics of each procedure.

[Indexed for MEDLINE]

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