Modified Sauve-Kapandji procedure for patients with old fractures of the distal radius

Abstract

<jats:title>Abstract</jats:title><jats:sec id="j_med-2017-0060_s_006_w2aab2b8d132b1b7b1aab1c15b1Aa"><jats:title>Objective</jats:title><jats:p>To evaluate the clinical and radiographic outcomes of a modified Sauve-Kapandji procedure for patients with old fractures in the distal radius.</jats:p></jats:sec><jats:sec id="j_med-2017-0060_s_007_w2aab2b8d132b1b7b1aab1c15b2Aa"><jats:title>Methods</jats:title><jats:p>Fifteen patients (10 male and 5 female patients with an average age of 40 years old) were treated by the modified Sauve-Kapandji procedure from January 2014 to April 2016. All patients had undergone at least one previous operation on the involved wrist, and they were still suffering from pain and functional limitations at the time of admission. The postoperative follow-up period was 12-26 months and the average was 20 months. Functional assessment was made at the last follow-up. All patients were evaluated according a Modified Mayo Wrist Score system.</jats:p></jats:sec><jats:sec id="j_med-2017-0060_s_008_w2aab2b8d132b1b7b1aab1c15b3Aa"><jats:title>Results</jats:title><jats:p>Of the fifteen patients with posttraumatic arthritis, thirteen had excellent results, two had good results, and one had fair results. There were no major complications.</jats:p></jats:sec><jats:sec id="j_med-2017-0060_s_009_w2aab2b8d132b1b7b1aab1c15b4Aa"><jats:title>Conclusions</jats:title><jats:p>The modified Sauve-Kapandji procedure is a safe and effective surgical alternative for intractable disorders of the distal radioulnar joint and can be recommended as a salvage procedure when previous treatments fail.</jats:p></jats:sec>

Functional outcomes after modified Sauve-Kapandji arthrodesis for distal radioulnar joint dysfunction

“…Overall outcome was assessed by final MMWS. 5 Excellent outcome was reported in 64.3% (n=9) patients, good in 24.6% (n=4) and fair in 7.1 % (n=1) patients as shown in the Table 2. There was no incidence of infections or any neurovascular deficits in any of the patients.…”

“…The Sauvé-Kapandji procedure was originally described as a surgical treatment for DRUJ dysfunction due to rheumatoid arthritis which was followed by various modifications specially to stabilize the proximal stump. [5][6][7][8][9] However, this procedure has since been widely used as a salvage operation after failure of other treatment methods for DRUJ disorders or distal radius fractures. 8,11,12 We treated 14 patients with DRUJ dysfunction by Modified Sauve-Kapandji procedure of which 8 patients were male and 6 were female.…”

“…Modified Sauve-Kapandji procedure has been performed using the standard described technique. 5,8 Cannulated cancellous screw was used for arthrodesis of DRUJ joint. Pseudoarthrosis was created by excising a part of ulna proximal to the arthrodesis.…”

“…1 There are numerus salvage surgeries to treat instability of the DRUJ, including distal ulna resection by Malgaine and Darrach, partial-resection with interposition arthroplasty and the Sauve-Kapandji procedure and its modifications. [2][3][4][5][6][7] The Sauve-Kapandji procedure involves fusion across the DRUJ with excision of a segment of the distal ulna. Theoretically, this preserves ulnar support of the carpus, the distal radioulnar ligaments, and ulnocarpal ligaments.…”

Avaliação funcional pós-operatória em pacientes com acometimento radioulnar submetidos à técnica de Sauvé-Kapandji

“…Neste estudo tivemos 9 casos que necessitaram por reintervenção cirúrgica por dor no parafuso distal, já que a instabilidade proximal foi evitada na técnica cirúrgica com tira de tendão. Corroborando com outros estudos descritos na literatura (TOMORI et al, 2018;GUO et al, 2017;HAFERKAMP, 2012;LUCHETTI et al, 2008;ROSS et al, 2007;FUJITA et al, 2006;SHIN et al, 2006;GABL et al, 1998;STUART, 1996).…”