Date of Surgery: 01/08/08
Preoperative Diagnosis: Ehlers-Danlos Syndrome. Unstable and arthritic right distal radial ulnar joint (DRUJ).
Operative Procedure: Aptis total DRUJ replacement.
Date of Surgery: 10/14/08
Preoperative Diagnosis: Left DRUJ instability and left thumb metacarpophalangeal joint instability due to ligamentous hyperlaxity caused by Ehlers Danlos syndrome.
Operative Procedure: Aptis total DRUJ replacement. Left palmar plate fixation and sesamoid metacarpal fixation of the left thumb metacarpal joint.
Date of Surgery: 10/05/09
Preoperative Diagnosis: Arthritis of the left distal radial ulnar joint (DRUJ) with severe grinding of pain.
Operative Procedure: Aptis total DRUJ replacement
Date of Surgery: 03/19/05
Preoperative Diagnosis: History of a fracture of the right radius and ulna for which open reduction and internal fixation and bone grafting was done. She progressed with right distal radial ulnar joint (DRUJ) arthritis and instability
Operative Procedure: Removal of plate and screws from right radius. Removal of plate and screws from right ulna. Aptis total DRUJ replacement.
Date of Surgery: 01/04/11
Preoperative Diagnosis: Vaughan-Jackson Syndrome. Unable to extend the ring and small fingers. Painful prono-supination.
Operative Procedure: Reconstruction of the Extensor Mechanism. Tendon grafts to the EDC and EDQ. Aptis total distal radial ulnar joint (DRUJ) replacement.
Findings: Subluxation of the DRUJ. No cartilage on the ulnar head. Attritional rupture of the EDC and EDQ tendons.