Use of palmaris longus graft in chronic distal radio-ulnar joint instability in complex tear of triangular fibro-cartilage complex

Chronic distal radio-ulnar instability often results from complex tear of triangular fibro-cartilage complex (TFCC), which serve as a critical stabilizer for wrist. This injury frequently arises due to repetitive trauma or acute injury, leading to significant pain, functional impairment, and diereses grip strength. Chronic dislocation of the distal radio ulnar joint has traditionally been managed through intricate osteotomies and reconstructive procedures, often resulting in stubborn stiffness and diminished functionality. It is advantageous to employ a fixation method that not only restores wrist biomechanics but is also aesthetically pleasing for the affected individual. Here, we introduce a new technique for use of palmaris longus graft with fixation button stabilizing chronic distal radio-ulnar joint instability. The advantage of this surgery is decries the duration of the surgery, and start early range of movements of wrist with significant improvement in pain using the vas score. None of the patients had complications. The use of palmaris longus graft is believed to an innovative, safe, reliable and efficient method for of distal radio-ulnar joint (DRUJ) instability.