THE SAUVE-KAPANDJI PROCEDURE FOR OSTEOARTHRITIS OF THE DISTAL RADIOULNAR JOINT

被引：60

作者：

MINAMI, A

SUZUKI, K

SUENAGA, N

ISHIKAWA, J

机构：

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1995年 / 20A卷 / 04期

关键词：

D O I：

10.1016/S0363-5023(05)80276-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The Sauve-Kapandji procedure has been performed in 15 patients with primary and secondary osteoarthritis of the distal radioulnar joint. The average age of the patients was 45 years (range, 31-63 years). There were 12 men and 3 women. The follow-up period averaged 2 years and 11 months. Postoperative pain relief was good in all wrists. The preoperative range of motion of the wrist joint averaged 50 degrees extension and 44 degrees flexion. Forearm motion averaged 66 degrees pronation and 64 degrees supination. Postoperatively, the range of motion improved to 55 degrees extension and 51 degrees flexion at the wrist and forearm motion improved to 78 degrees pronation and 82 degrees supination. Although all wrists also showed an increased grip strength and improved range of motion over preoperative values, these did not have statistical significance. Postoperative x-ray evaluation showed an unstable proximal stump and radioulnar convergence in 12 wrists. Our clinical and x-ray film findings suggest that the Sauve-Kapandji procedure is a satisfactory procedure for patients with osteoarthritis of the distal radioulnar joint.

引用

页码：602 / 608

页数：7

共 20 条

[1]

Vasely, The distal radio-ulnar joint, Clin Orthop, 51, pp. 75-91, (1967)

[2]

Lewis, Hamshere, Bucknill, The anatomy of the wrist joint, J Anat, 106, pp. 539-552, (1970)

[3]

Palmer, Werner, The triangular fibrocartilage complex of the wrist anatomy and function, The Journal of Hand Surgery, 5, pp. 153-162, (1981)

[4]

Sauve, Kapandji, Nouvelle technique de traitement chirurical des luxations re cidivantes isolees de l'extremite inferieure du cubitus, J de Chirurgie, 47, pp. 589-594, (1936)

[5]

Milch, Cuff resection of the ulna for malunited Colles' fracture, J Bone Joint Surg, 23, pp. 311-313, (1941)

[6]

Dingman, Resection of the distal end of the ulna (Darrach operation). An end result study of twenty-four cases, J Bone Joint Surg, 34 A, pp. 893-900, (1952)

[7]

Kessler, Hecht, Present application of the Darrach procedure, Clin Orthop, 72, pp. 254-260, (1970)

[8]

Goncalves, Correction of disorders of the distal radioulnar joint by artificial pseudarthrosis of the ulna, J Bone Joint Surg, 56 B, pp. 462-464, (1974)

[9]

Ekenstam, Engkvist, Wadin, Results from resection of the distal end of the ulna after fractures of the lower end of the radius, Scand J Plast Reconstr Surg, 16, pp. 177-181, (1982)

[10]

Newmeyer, Green, Rupture of digital extensor tendons following distal ulnar resection, J Bone Joint Surg, 64 A, pp. 178-182, (1982)

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