Wong Megan N, Brown Chelsea R, Vaghani Parth, Goyal Kanu S
The Ohio State University Wexner Medical Center, Columbus, USA.
Hand (N Y). 2025 Feb 20:15589447251317224. doi: 10.1177/15589447251317224.
The Darrach procedure, comprising distal ulna resection, has been used to treat numerous wrist and distal radioulnar joint pathologies. Extensor tendon rupture from the proximal ulnar stump is a recognized, but lesser known postoperative complication. We present this case series of extensor tendon ruptures following Darrach procedures and their subsequent reconstructions to share different surgeon experiences with this complication.
Patients with extensor tendon rupture after Darrach procedure were identified from contributing hand surgeon case logs. The treating surgeons shared demographic data and surgical case details pertinent to this study. A single patient experience is presented as the representative case, with the remaining patient experiences summarized in a table.
Seven patients were included. Nearly all patients underwent intraoperative capsular closure following distal ulna resection, and their extensor tendon ruptures were treated with revision surgeries.
While rarely reported in the literature, treating surgeons should be aware of extensor tendon rupture as a possible complication after Darrach procedure.
包括尺骨远端切除术的达拉赫手术已被用于治疗多种腕关节和桡尺远侧关节病变。尺骨近端残端的伸肌腱断裂是一种已被认识但鲜为人知的术后并发症。我们展示了这一系列达拉赫手术后伸肌腱断裂及其后续重建的病例，以分享不同外科医生处理该并发症的经验。
从参与研究的手外科医生病例记录中识别出达拉赫手术后伸肌腱断裂的患者。治疗外科医生分享了与本研究相关的人口统计学数据和手术病例细节。以单个患者的经历作为代表性病例呈现，其余患者的经历汇总在表格中。
纳入了7名患者。几乎所有患者在尺骨远端切除术后均进行了术中关节囊闭合，其伸肌腱断裂通过翻修手术进行治疗。
虽然文献中很少报道，但治疗外科医生应意识到伸肌腱断裂是达拉赫手术后可能出现的并发症。
