[Radiological and clinical study of the ulna's end instability after Sauvé-Kapandji procedure].
The aim of the study was to analyse the ulnar proximal stump's behaviour after Sauvé-Kapandji procedure. The procedure was performed for post-traumatic disorders of the distal radio-ulnar joint. This is a retrospective study of 14 patients. The mean age of patients at the operation was 49 years. Most of them began immediate mobilisation into pronation and supination. After a 5 year follow-up period, the clinical examination was centred on the ulnar proximal stump. An original radiologic study was made with static and dynamic X-Ray. Seven patients indicated pain on the ulnar stump during pronosupination. A clunk on the ulnar side of the wrist was noticed by three patients and an instability of the ulnar stump was observed two times. Clinically, there were a sagittal instability in all patients and a frontal instability four times. The sagittal instability was confirmed by dynamic X-Ray on each occasion, but the frontal instability was never confirmed. Every patient had instability of the ulnar stump; however, it was well tolerated. In practice, 12 patients were satisfied or very satisfied (86%). Instability of the proximal ulnar stump remains a problem, because it occurs despite a strict technique.
Service d'orthopédie, traumatologie et urgences main, hôpital de la Cavale-Blanche, CHU de Brest, boulevard Tanguy-Prigent, 29609 Brest , France. philippe.brunet@chu-brest.fr
P
P
Brunet
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G
Moineau
M
M
Liot
A
A
Burgaud
F
F
Dubrana
D
D
Le Nen
D005260:Female; D006801:Humans; D007593:Joint Instability / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D014457:Ulna / Q000473:pathology* / Q000601:surgery*; D014954:Wrist Injuries / Q000601:surgery*