The distal radioulnar joint.

Reconstructive surgery of the distal radioulnar joint should be considered for those in the age range of 20 to 50 years, particularly in those patients having sustained a high-energy injury and in cases where there is a great demand on the wrist joint for heavy work and sports activities. Meticulous preoperative planning in terms of correct clinical and radiologic evaluation and strict adherence to restoration of the joint congruency and restoration of ligament function are most important in obtaining reliable, long-term results in the vast majority of patients.