The Sauvé-Kapandji procedure: A salvage operation for the distal radioulnar joint

The Sauvé-Kapandji procedure, a distal radioulnar arthrodesis with surgical creation of a pseud-arthrosis in the distal ulna, was used to treat 11 patients. Although all patients had had at least one previous operation on the involved wrist, they were still having pain and functional limitations. Te...

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Veröffentlicht in:The Journal of hand surgery (American ed.) 1991-11, Vol.16 (6), p.1125-1129
Hauptverfasser: Sanders, Richard A., Frederick, Hugh A., Hontas, Roch B.
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container_end_page 1129
container_issue 6
container_start_page 1125
container_title The Journal of hand surgery (American ed.)
container_volume 16
creator Sanders, Richard A.
Frederick, Hugh A.
Hontas, Roch B.
description The Sauvé-Kapandji procedure, a distal radioulnar arthrodesis with surgical creation of a pseud-arthrosis in the distal ulna, was used to treat 11 patients. Although all patients had had at least one previous operation on the involved wrist, they were still having pain and functional limitations. Ten patients were available for follow-up, which averaged 33 months. Of the nine patients with posttraumatic arthritis, six had excellent results (a painless wrist that averaged 82 degrees of pronation and 83 degrees of supination). Three patients had good results (mild pain during activities with an identical range of forearm rotation). One patient who had rheumatoid arthritis had an excellent result for 3 years but recently had a radiocarpal wrist fusion because of radiocarpal arthritis. We have found the Sauvé-Kapandji procedure to be a reliable treatment option for intractable disorders of the distal radioulnar joint and recommend it as a salvage procedure when previous treatment has failed.
doi_str_mv 10.1016/S0363-5023(10)80078-4
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Although all patients had had at least one previous operation on the involved wrist, they were still having pain and functional limitations. Ten patients were available for follow-up, which averaged 33 months. Of the nine patients with posttraumatic arthritis, six had excellent results (a painless wrist that averaged 82 degrees of pronation and 83 degrees of supination). Three patients had good results (mild pain during activities with an identical range of forearm rotation). One patient who had rheumatoid arthritis had an excellent result for 3 years but recently had a radiocarpal wrist fusion because of radiocarpal arthritis. 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Ulna - surgery</topic><topic>Wrist Injuries - complications</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>Wrist Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanders, Richard A.</creatorcontrib><creatorcontrib>Frederick, Hugh A.</creatorcontrib><creatorcontrib>Hontas, Roch B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery (American ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanders, Richard A.</au><au>Frederick, Hugh A.</au><au>Hontas, Roch B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Sauvé-Kapandji procedure: A salvage operation for the distal radioulnar joint</atitle><jtitle>The Journal of hand surgery (American ed.)</jtitle><addtitle>J Hand Surg Am</addtitle><date>1991-11-01</date><risdate>1991</risdate><volume>16</volume><issue>6</issue><spage>1125</spage><epage>1129</epage><pages>1125-1129</pages><issn>0363-5023</issn><eissn>1531-6564</eissn><coden>JHSUDV</coden><abstract>The Sauvé-Kapandji procedure, a distal radioulnar arthrodesis with surgical creation of a pseud-arthrosis in the distal ulna, was used to treat 11 patients. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Arthritis - etiology
Arthritis - surgery
Arthritis, Rheumatoid - surgery
Arthrodesis - methods
Biological and medical sciences
Female
Humans
Male
Medical sciences
Methods
Middle Aged
Orthopedic surgery
Postoperative Complications
Radiography
Radius - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Ulna - surgery
Wrist Injuries - complications
Wrist Joint - diagnostic imaging
Wrist Joint - surgery
title The Sauvé-Kapandji procedure: A salvage operation for the distal radioulnar joint
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