The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture.
This retrospective study evaluated the results of the Darrach procedure and the Sauve-Kapandji procedure for the treatment of distal radio-ulnar joint derangement following malunion of dorsally displaced, unstable, intraarticular fractures of the distal radius in patients under 50 years of age. Twelve of 18 possible patients in the Sauve-Kapandji group completed the disabilities of the arm, shoulder, and hand survey at a mean of 4 years postoperatively and nine of the 18 returned for a follow-up examination at a mean of 2 years. Twenty-one of 30 possible patients in the Darrach group completed the disabilities of the arm, shoulder, and hand survey at a mean of 6 years postoperatively and 13 of these 30 returned for follow-up examination at a mean of 4 years. The Darrach procedure and the Sauve-Kapandji procedure yielded comparable and unpredictable results with respect to both subjective and objective parameters.
George
M S
MS
Department of Orthopaedic Surgery, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267-0212, USA. mgeorge915@yahoo.com
Kiefhaber
T R
TR
Stern
P J
PJ
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D003100:Colles' Fracture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004185:Disability Evaluation; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D017759:Fractures, Malunited / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D010147:Pain Measurement; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery