title: An unconventional indication of the Sauve' - Kapandji procedure in a radial shaft pseudoarthrosis and chronic DRUJ dislocation: a case report.
abstract: We present a 42-years-old male who developed a radial shaft pseudoartrosis and a chronic DRUJ dislocation/instability, following a Galeazzi fracture. He presented to our Office with a severe inability of wrist and forearm motion. A Sauve'-Kapandji procedure was adopted, performing a lateral approach to the ulna and grafting the excised ulnar block to retrieve radial length at the pseudoarthrosis level. Cancellous bone grafts from the iliac crest were also applied and mixed with autologous platelet rich plasma to promote callus formation. The goal was to create an intentional pseudoarthrosis of the distal ulna combined with a DRUJ arthrodesis, in order to resolve instability and regain forearm pronation/supination. We obtained bone healing, an excellent clinical recovery, and the patient returned to all his previous activities six months after surgery. To our knowledge, this is the first reported case of a radial shaft psudoarthrosis treated with the Sauve'-Kapandji technique.
authors.affiliation: Department of Orthopedics and Traumatology, University Hospital Policlinico Umberto I, University Sapienza, Rome, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Theodorakis
authors.forename: M
authors.initials: M
authors.lastname: Fanelli
authors.forename: P
authors.initials: P
authors.lastname: Ottolenghi
authors.forename: S
authors.initials: S
authors.lastname: Pappalardo
mesh_terms: D000328:Adult; D001860:Bone Plates; D016025:Bone Transplantation; D002908:Chronic Disease; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011542:Pseudarthrosis / Q000150:complications / Q000601:surgery*; D011885:Radius Fractures / Q000150:complications / Q000601:surgery*; D014955:Wrist Joint