Many treatment options exist for the symptomatic patient with a failed Darrach distal ulna resection. Tendon transfers, osteoplasties, soft tissue interpositions, and combinations have been used to mitigate the symptoms of impingement. Recently, implant arthroplasty of the distal ulna has become a favorable option for treating the patient with a symptomatic distal ulna resection. This article presents an alternative treatment option using Achilles tendon allograft as a soft tissue interposition.
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