Darrach's procedure

Darrach's procedure is a surgical intervention used to treat wrist conditions such as post-traumatic arthritis, rheumatoid arthritis, and instability. Named after the American orthopedic surgeon William Adams Darrach, the procedure involves the removal of the distal end of the ulna, one of the two bones in the forearm.

Indications

Darrach's procedure is typically indicated for patients suffering from persistent pain and limited wrist motion due to conditions such as post-traumatic arthritis, rheumatoid arthritis, and instability. It may also be recommended for patients with distal radioulnar joint (DRUJ) dysfunction.

Procedure

During Darrach's procedure, the surgeon removes the distal end of the ulna, which is the bone on the pinky side of the forearm. This is done to alleviate pain and improve wrist function. The procedure is usually performed under general anesthesia or regional anesthesia.

Risks and Complications

As with any surgical procedure, Darrach's procedure carries potential risks and complications. These may include infection, nerve damage, blood clots, and complications related to anesthesia. There is also the risk of non-improvement or worsening of symptoms.

Postoperative Care

Following the procedure, the patient's wrist is typically immobilized in a cast for several weeks. Physical therapy may be recommended to help regain strength and mobility in the wrist.

See Also

• Wrist surgery
• Orthopedic surgery
• Arthritis
• Post-traumatic arthritis
• Rheumatoid arthritis
• Distal radioulnar joint