The Sauvé-Kapandji procedure: indications and tips for surgical success.
Arthrodesis is the most reliable and durable surgical procedure for the treatment of a joint disorder, with the main disadvantage of loss of motion of the fused joint. The distal radioulnar joint can be arthrodesed, while forearm pronation and supination are maintained or even improved by creating a pseudoarthrosis of the ulna just proximal to the arthrodesis. This is known as the Sauvé-Kapandji procedure. This procedure is not void of possible complications, such as nonunion or delayed union of the arthrodesis, fibrous or osseous union at the pseudoarthrosis, and painful instability at the proximal ulna stump. All of these can be prevented if a careful surgical technique is used.
Lluch
Alberto
A
Institut Kaplan for Surgery of the Hand and Upper Extremity, Paseo Bonanova 9, 08022 Barcelona, Spain. albertolluch@institut-kaplan.com
D001174:Arthrodesis / Q000379:methods*; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications; D011542:Pseudarthrosis / Q000209:etiology*; D016059:Range of Motion, Articular; D014457:Ulna / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery*