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The Sauvé-Kapandji procedure.
1Department of Orthopaedic Surgery, University of California, Irvine School of Medicine.
Clinical Orthopaedics and Related Research
|February 1, 1992
Summary
The Sauvé-Kapandji procedure preserves the ulna head for wrist joint stability and function. This technique offers a satisfactory solution for distal radioulnar joint issues, though not suitable for all cases.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Wrist Arthroscopy
Background:
- The distal radioulnar joint (DRUJ) is crucial for wrist function, particularly pronation and supination.
- Traditional treatments like ulna head excision can lead to complications.
- Preserving the ulna head is theorized to maintain better wrist biomechanics.
Purpose of the Study:
- To evaluate the author's experience with the Sauvé-Kapandji procedure for treating various DRUJ pathologies.
- To assess the efficacy of preserving the ulna head in restoring wrist function and minimizing complications.
Main Methods:
- The Sauvé-Kapandji procedure involves DRUJ arthrodesis and creation of a proximal ulna pseudarthrosis.
- The technique was applied to 37 wrists with conditions including rheumatoid arthritis, osteoarthrosis, posttraumatic changes, and chondromalacia.
- Patient outcomes and functional restoration were assessed post-operatively.
Main Results:
- The Sauvé-Kapandji procedure demonstrated satisfactory outcomes in the treated wrists.
- Preservation of the ulna head contributed to normal load transmission and support of wrist structures.
- The operation is not universally applicable and has contraindications, particularly for unstable or dislocated DRUJ.
Conclusions:
- The Sauvé-Kapandji technique is a viable surgical option for specific distal radioulnar joint conditions.
- Preserving the ulna head offers biomechanical advantages and reduces certain post-operative complications.
- Careful patient selection is essential, with contraindications including unstable or dislocated DRUJ.