- See:
-
Bower's Procedure:
- Discussion:
- invovles resection of ulnar articular head, leaving shaft and styloid relationship intact;
- interpositional anchovy of tendon is placed in cavity to limit contact of radial & ulnar shafts
which may migrate to each other after this procedure;
- should be considered before performing
Darrah procedure;
- Indications:
- indicated for rheumatoid patients in early stages of the disease;
- requires that
TFCC is intact or reconstructible;
- w/o intact or reconstructible TFCC, there is no advantage over
Darrah procedure;
- in RA: TFCC will frequently be damaged, and one should instead consider modified Darrah
procedure with a radiolunate arthrodesis;
- another alternative is a
Sauve-Kapandji procedure;
