Berg E
South Med J. 1976 Jul;69(7):858-61. doi: 10.1097/00007611-197607000-00016.
Classically, wrist synovectomy, when the distal radioulnar joint is involved, includes excision of the distal ulna (the classical Darrach procedure). Orthopedists and rheumatologists are well aware of the propensity for extensor tendon rupture, particularly of the ring and little finger, in this area. Dr. Alfred Swanson has presented his results with a silastic interposition to substitute for the excision of the distal ulna. This paper presents a surgical technic, indications, and results in five cases of rheumatoid arthritis in which wrist synovectomy and repair of extensor tendon ruptures were done as appropriate. This distal ulnar prosthesis is recommended for routine use in wrist synovectomy when excision of the distal ulna is performed.
传统上，当桡尺远侧关节受累时，腕关节滑膜切除术包括切除尺骨远端（经典的达拉赫手术）。骨科医生和风湿病学家都清楚地知道，在这个部位伸肌腱，尤其是环指和小指的伸肌腱，有断裂的倾向。阿尔弗雷德·斯旺森医生介绍了他使用硅橡胶植入物替代尺骨远端切除的结果。本文介绍了一种手术技术、适应证以及5例类风湿性关节炎患者的手术结果，这些患者均进行了腕关节滑膜切除术并在必要时修复了伸肌腱断裂。当进行尺骨远端切除时，推荐使用这种尺骨远端假体用于腕关节滑膜切除的常规手术。
