Malunion of a Complex Fracture of the Distal Radioulnar Joint (DRUJ): Artificial Sauvé-Kapandji Situation Results in Pain-Free Movements of Forearm and Wrist

Malunion of a Complex Fracture of the Distal Radioulnar Joint (DRUJ): Artificial Sauvé-Kapandji Situation Results in Pain-Free Movements of Forearm and Wrist

Background: Generating an artificial spontaneous Sauve-Kapandji situation after malunion of the distal radioulnar joint (DRJU) enables a patient to move forearm and wrist without pain. Case Study: A patient with an extensive combined fracture of the distal radius and ulna accompanied by a subluxatio...

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Veröffentlicht in:European journal of trauma and emergency surgery (Munich : 2007) 2002-12, Vol.28 (6), p.370
Hauptverfasser: Metzger, Ralf, Andermahr, Jonas, Rehm, Klaus Emil
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Arms
Case studies
Fractures
Joints
Surgery
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container_title European journal of trauma and emergency surgery (Munich : 2007)
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Andermahr, Jonas
Rehm, Klaus Emil
description Background: Generating an artificial spontaneous Sauve-Kapandji situation after malunion of the distal radioulnar joint (DRJU) enables a patient to move forearm and wrist without pain. Case Study: A patient with an extensive combined fracture of the distal radius and ulna accompanied by a subluxation of the ulnar head and an avulsion fracture of the base of the ulnar styloid was treated with external fixator. During follow-up, an artificial fracture was observed at a former pin site. This led to nonunion approximately 3 cm proximal to the ulnar head. Comparable to a spontaneously generated Sauve-Kapandji situation, the development of this nonunion resulted in a pain-ree situation allowing free movement of forearm and wrist. The extend of motion was 70 degrees/0 degrees 80 degrees pronation/supination. [PUBLICATION ABSTRACT]
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subjects Arms
Case studies
Fractures
Joints
Surgery
title Malunion of a Complex Fracture of the Distal Radioulnar Joint (DRUJ): Artificial Sauvé-Kapandji Situation Results in Pain-Free Movements of Forearm and Wrist
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