[The Sauvé-Kapandji operation. Indications and results].
The Sauvé-Kapandji procedure consists of an arthrodesis of the distal radioulnar joint (DRUJ) in combination with an intentional pseudarthrosis of the distal ulna. In addition to other methods, the Sauvé-Kapandji operation is a salvage procedure of for chronic disorders of DRUJ. Different studies have confirmed that this procedure results in a pain reduction of between 73 and 100% and that patient' satisfaction lies between 68 and 100%. A reliable improvement of rotation of the forearm of between 134 and 171 degrees can be expected. On the other hand, a decrease in grip strength on the affected side is usual. The potential problem of instability of the proximal ulna stump can be avoided by performing a short distal segment and a narrow pseudarthrosis gap. The Sauvé-Kapandji procedure is a reliable salvage procedure resulting in high patient satisfaction and a reliable improvement in range of motion.
Daecke
W
W
Sektion für Hand- und Mikrochirurgie-Abteilung Orthopädie I, Stiftung Orthopädische Universitätsklinik Heidelberg. wolfgang.daecke@ok.uni-heidelberg.de
Streich
N A
NA
Martini
A-K
AK
D018771:Arthralgia / Q000517:prevention & control; D001178:Arthroplasty / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D003258:Consumer Behavior; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D023821:Limb Salvage / Q000379:methods*; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*