The Sauvé-Kapandji procedure for chronic dislocation of the distal radio-ulnar joint with destruction of the articular surface.
The Sauvé-Kapandji procedure has been performed in 15 non-rheumatoid patients with chronic distal radio-ulnar joint dislocation accompanied by joint damage or deformity. The clinical results were favourable; wrist pain improved in all patients, wrist flexion-extension was increased by more than 10 degrees in nine patients, grip strength of at least 80% of the contralateral wrist was achieved in 11 patients, and forearm rotation was more than 150 degrees in 12 patients. However, X-ray examination revealed an unstable proximal ulnar stump and radio-ulnar convergence in all patients similar to that associated with the Darrach procedure. Although the Sauvé-Kapandji procedure can preserve ulnar support of the wrist and is believed to yield more satisfactory results than the Darrach procedure, its extensive use is not recommended for non-rheumatoid distal radio-ulnar joint disorders, but it is recommended for chronic distal radio-ulnar joint dislocation with articular injury or deformity.
Nakamura
R
R
Department of Orthopaedic Surgery, Nagoya University School of Medicine, Japan.
Tsunoda
K
K
Watanabe
K
K
Horii
E
E
Miura
T
T
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001847:Bone Diseases / Q000601:surgery; D001863:Bone Screws; D001864:Bone Wires; D002908:Chronic Disease; D004838:Epiphyses / Q000601:surgery; D005260:Female; D006225:Hand / Q000503:physiopathology; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D010149:Postoperative Pain / Q000209:etiology; D011859:Radiography; D011884:Radius / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D016059:Range of Motion, Articular; D012399:Rotation; D014457:Ulna / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014955:Wrist Joint / Q000503:physiopathology