A comparative study of the modified Sauvé–Kapandji procedure for rheumatoid wrist with and without stabilization of the proximal ulnar stump

Kawabata, Akira; Egi, Takeshi; Hashimoto, Hideo; Masada, Kazuhiro; Saito, Susumu

doi:10.1177/1753193410367599

Cited by 8 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radioscapholunate arthrodesis can be performed if there is also deterioration between the scaphoid and the radius, but it has no advantages, nor disadvantages above Radiolunate arthrodesis [ 12 , 42 , 43 ]. Sauvé Kapandji procedure prevents Lunate dislocation on the ulnar side [ 9 , 17 , 44 ]. Total wrist arthrodesis and Wrist arthroplasty can be performed if there is a total deterioration of the wrist.…”

Section: Discussionmentioning

confidence: 99%

Radiocarpal and Midcarpal Instability in Rheumatoid Patients: A Systematic Review

Raven¹,

Bekerom²,

Beumer³

et al. 2015

TOORTHJ

View full text Add to dashboard Cite

Background:This study was aimed at identifying the criteria for the diagnosis of Radiocarpal instability in rheumatoid arthritis RA).Methods:The main databases were searched to identify studies describing the pathophysiology of Radiocarpal instability in patients with RA. We focussed on the epidemiology, radiographic parameters, criteria for instability and on treatment options. Results. In the search 108 articles were found, of these 12 studies were included for this review. Instability occurs in at an average of 35.2% of the rheumatoid wrists. The instability was found between 8 and 13 years after onset of rheumatoid arthritis. A strong correlation was found between instability, duration of RA and Larsen score. Several radiographic methods were described to evaluate Radiocarpal instability in RA. Several treatment options for instability in patients with RA are described. All with their own indications and limitations.Conclusion:On a standard AP radiograph deformity can be measured using the carpal height and the ulnar translation index of Chamay. This gives an indication for instability. For describing the deterioration of the joints the Larsen score is most used. If there are more radiographs in time the Simmen classification can be used. For real assessment of instability dynamic radiographs are needed.Level of Evidence:Level IV.

show abstract

Section: Discussionmentioning

confidence: 99%

Radiocarpal and Midcarpal Instability in Rheumatoid Patients: A Systematic Review

Raven¹,

Bekerom²,

Beumer³

et al. 2015

TOORTHJ

View full text Add to dashboard Cite

show abstract

“…Conversely, Patient Number 8 had no stabilization and was pain free (DASH 0, PRWE 0, VAS 2). Clinically and radiologically, Kawabata et al. (2010) could not detect any difference in 41 rheumatological patients with and without stabilization of the proximal ulnar stump and concluded that there is no need to stabilize the rheumatoid wrist.…”

Section: Discussionmentioning

confidence: 95%

Long-term results of Sauvé–Kapandji procedure

Reissner

Schweizer

Unterfrauner

et al. 2021

J Hand Surg Eur Vol

View full text Add to dashboard Cite

The Sauvé–Kapandji procedure is an established treatment option for distal radioulnar joint dysfunction. We retrospectively analysed 36 patients following Sauvé–Kapandji procedure between 1997 and 2013. Fifteen patients were available for a follow-up after a mean of 13 years (range 6 to 23). Six patients needed revision surgery because of ulnar stump instability. Radiographs and sonography were performed to quantify the instability of the proximal ulnar stump. These showed a radioulnar convergence of 8 mm without weight and 2 mm while lifting 1 kg. Sonographically, the proximal ulnar stump dislocated by 8 mm to the volar side while applying pressure to the palm, compared with 4 mm on the contralateral side. Sonographically measured ulnar stump instability showed a positive strong correlation with the Disabilities of the Arm, Shoulder and Hand questionnaire and Patient-Reported Wrist Evaluations and a negative strong correlation with grip strength and supination torque. Because of the high incidence of revision surgery due to instability of the proximal ulnar stump, we restrict the use of the Sauvé–Kapandji procedure only to very selected cases. Level of evidence: IV

show abstract

“…No patients reported pain or symptoms due to stump instability. A retrospective comparison of the Sauvé-Kapandji procedure with and without ulnar stabilization with the extensor carpi ulnaris found that, initially, pain at the ulnar stump was more common when stabilization was not performed; two (9%) of twenty-two patients who had undergone the procedure with ulnar stabilization and seven (37%) of nineteen patients who had undergone the procedure without ulnar stabilization reported pain 41 . This difference had disappeared by the latest follow-up at an average of fifty-eight months (range, twelve to ninety-nine months) 41 .…”

Section: Extensor Carpi Ulnaris Rupture and Salvage Proceduresmentioning

confidence: 98%

“…A retrospective comparison of the Sauvé-Kapandji procedure with and without ulnar stabilization with the extensor carpi ulnaris found that, initially, pain at the ulnar stump was more common when stabilization was not performed; two (9%) of twenty-two patients who had undergone the procedure with ulnar stabilization and seven (37%) of nineteen patients who had undergone the procedure without ulnar stabilization reported pain 41 . This difference had disappeared by the latest follow-up at an average of fifty-eight months (range, twelve to ninety-nine months) 41 . Jupiter described a similar modification utilizing both a proximally based slip of the extensor carpi ulnaris tendon to provide dorsal stabilization and a distally based slip of the flexor carpi ulnaris tendon to provide palmar stabilization 42 .…”

Section: Extensor Carpi Ulnaris Rupture and Salvage Proceduresmentioning

confidence: 98%