Radiographic Changes after Resection of the Distal Ulna in Rheumatoid Arthritis

Rahimtoola, Zulfiquar O.; Jansen, Sebastiaan P L; Rozing, P. M.; Nelissen, Rob G H H

doi:10.1016/j.jhsb.2003.10.007

Cited by 10 publications

(4 citation statements)

References 15 publications

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“…After the review process (Figure 1), 44 articles were used for analysis. 8-52 Patient characteristics were recorded from articles in which this information was available (Table 1). Although a minimum of 6-month follow-up was required to meet inclusion criteria, the shortest follow-up in the studies included was 12 months.…”

Section: Resultsmentioning

confidence: 99%

Outcomes of Darrach and Sauvé-Kapandji Procedures: A Systematic Review

Lamont

Debkowska

Johnsen

et al. 2022

Hand (New York, N,Y.)

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Background: To review the available literature on Darrach and Sauvé-Kapandji (SK) procedures and perform a systematic review to identify differences in clinical outcomes. We hypothesized that SK would have a higher complication rate without significant clinical benefit. Methods: A literature search was conducted using PubMed, EMBASE, Cochrane Library, and SCOPUS (from inception to January 2020) to identify studies evaluating outcomes of Darrach and SK procedures. Primary outcome measures included the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, range of motion, grip strength, complications, and overall satisfaction. Results: A total of 103 articles were identified and screened, and of these, 44 full-text articles were used for data extraction and qualitative analysis. Outcomes were similar for QuickDASH scores, grip strength, and range of motion, as was overall satisfaction. Specifically, satisfaction rates for stabilized SK and Darrach procedures in patients without rheumatoid arthritis were comparable at 70.2% and 72.6%, respectively. Average QuickDASH scores were similar (21 for Darrach and 29 for SK). Mechanical symptoms due to stump instability occur with either procedure but were higher with the Darrach procedure (12.5% compared with 6.8%). The SK had more surgery-related complications such as nonunions (2.3%), symptomatic hardware, and reoperations (6.8% compared with 3.2%). Conclusions: Both Darrach and SK procedures provide comparable satisfaction rates regardless of the underlying pathology. Improvement in range of motion, strength, and overall function is similar for both procedures; however, the reoperation rate is higher with SK.

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Section: Resultsmentioning

confidence: 99%

Outcomes of Darrach and Sauvé-Kapandji Procedures: A Systematic Review

Lamont

Debkowska

Johnsen

et al. 2022

Hand (New York, N,Y.)

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“…Another report observed no significant differences in radiographic evaluation of patients who underwent the Darrach or S-K procedure selected based on the indications. 10 Rahimtoola et al 1 reported a radiographic analysis of the long-term changes between a group treated by the Darrach procedure and a nonoperated group. They observed increases in ulnar translocation and decreased CHR in both groups but found no significant differences between the two groups.…”

Section: Discussionmentioning

confidence: 99%

“…Rahimtoola et al 1 indicated that most investigators report satisfactory outcomes of the Darrach procedure for resection of the distal ulna in RA wrists. However, this procedure has the shortcomings of allowing progressive ulnar translocation of the carpus 2 and enhanced joint destruction.…”

Section: Introductionmentioning

confidence: 99%

Radiographic comparative evaluation of the Sauve-Kapandji procedure and the Darrach procedure for rheumatoid wrist reconstruction

et al. 2005

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For surgical treatment of rheumatoid wrists, we have routinely selected the Sauve-Kapandji (S-K) procedure or the Darrach procedure based on predetermined indications. In this study, we conducted a retrospective radiographic comparative evaluation of the changes in the carpus after the two procedures. The S-K group and the Darrach group each consisted of 13 wrists of 10 patients (all women). The indications for the Darrach procedure were the presence of radiolunate fusion, radial shelf formation, and old age. The carpal height ratio (CHR) and the ulnocarpal distance ratio (UCDR) were determined on wrist radiograms obtained before operation and at the final follow-up. The mean follow-up period was 4 years. Fisher's test was used to analyze the differences between the two groups. Both groups showed a decrease in mean CHR and an increase in mean UCDR at the final follow-up compared to the values before the operation, and there were no statistically significant differences. Furthermore, in the Darrach group, no significant differences in changes of the carpus were observed between patients with or without a radial shelf. We concluded that the present results do not support the superiority of the S-K method over the Darrach procedure for rheumatoid wrist reconstruction based on a radiographic evaluation.

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“…Cracchiolo and Marmor [6] did not observe further ulnar shift in a series of 42 wrists. There are however several surveys that this ulnar translocation is the consequence of the disease rather than the result of the Darrach [2,11,18,25,27,37]. Thirupathi et al [36] found ulnar translation in 44% of their series of 38 wrists and found also a linear correlation with the duration of follow-up.…”

Section: Treatmentmentioning

confidence: 99%

The distal radioulnar joint in rheumatoid arthritis

Smet¹

2006

International Congress Series

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Radiographic Changes after Resection of the Distal Ulna in Rheumatoid Arthritis

Cited by 10 publications

References 15 publications

Outcomes of Darrach and Sauvé-Kapandji Procedures: A Systematic Review

Outcomes of Darrach and Sauvé-Kapandji Procedures: A Systematic Review

Radiographic comparative evaluation of the Sauve-Kapandji procedure and the Darrach procedure for rheumatoid wrist reconstruction

The distal radioulnar joint in rheumatoid arthritis

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