Salvage of the Distal Radio-Ulnar Joint Following Failure of Fixation.

Distal radio-ulnar joint arthritis can result in significant impairment of upper limb function. This case report demonstrates a complex course of treatment in a patient with this pathology. Multiple procedures including fixation, matched ulnar resection, and ulnar excision with soft tissue stabilization failed. Ultimately, a Scheker prosthesis was able to achieve long-term functional recovery. This case highlights the challenges in managing distal ulna pathology, implant choices, and the impact of osteoporosis and smoking on bone quality and outcomes.