Sauvé-Kapandji operation for disorders of the distal radioulnar joint after Colles' fracture. Good results in 12 patients followed for 1.5-4 years.
Controversies continue concerning the treatment of the posttraumatic caput ulna syndrome. We have treated 12 patients, mean age 42 (23-77) years, with arthrodesis ad modum Sauvé-Kapandji of the distal articulation between the radius and ulna, combined with resection of the ulnar neck. Before the operation, all patients had persistent ulnar wrist pain and restricted pronation-supination movement. At follow-up, after a mean of 2 (1.5-4) years, 8 patients had an excellent outcome, 3 a good, and 1 patient had a fair outcome. 10 patients had no wrist pain. The average grip-score improved from 53% preoperatively to 76% at the follow-up.
Mikkelsen
S S
SS
Department of Orthopedics, Aarhus County Hospital, Aarhus University Hospital, Denmark.
Lindblad
B E
BE
Larsen
E R
ER
Sommer
J
J
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001863:Bone Screws; D003100:Colles' Fracture / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery; D014955:Wrist Joint / Q000502:physiology