[Distal radio-ulnar arthrodesis and Kapandji ulna segment resection in treatment of limited forearm rotation].
Between 1986 and 1990 distal radioulnar arthrodesis with segment resection of the distal ulna (Sauvé-Kapandji Operation) was performed in 31 patients with posttraumatic changes of the distal radioulnar joint; 26 patients could be examined after 10 to 44 months. At the time of examination, all patients had bony fusion between distal radius and ulna; forearm rotation improved by 60.5%, 55% of the patients had significant pain relief. Grip strength also improved postoperatively, though never reaching values of the healthy hand. Two patients developed a bony regeneration, which was successfully reoperated upon in one case, 81% of the patients reported an improved wrist function.
Preisser
P
P
Abteilung für Handchirurgie und Plastische Chirurgie, Berufsgenossenschaftlichen Unfallkrankenhauses Hamburg.
Buck-Gramcko
D
D
Hess
J
J
D001174:Arthrodesis / Q000379:methods*; D001863:Bone Screws; D001864:Bone Wires; D006801:Humans; D010027:Osteotomy / Q000379:methods; D011183:Postoperative Complications / Q000601:surgery*; D011885:Radius Fractures / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D014102:Torsion Abnormality / Q000601:surgery; D014458:Ulna Fractures / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology*; D014954:Wrist Injuries / Q000601:surgery*
Die distale radioulnare Arthrodese und Ellensegmentresektion nach Kapandji zur Behandlung der gestörten Unterarmdrehung.