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The sauvé-kapandji procedure
1Institut Kaplan for Surgery of the Hand and Upper Extremity, Barcelona, Spain.
Journal of Wrist Surgery
|January 18, 2014
Summary
The Sauvé-Kapandji (S-K) procedure offers a durable solution for distal radioulnar joint disorders, preserving wrist function and improving forearm motion. Careful surgical technique minimizes potential complications for successful outcomes.
Area of Science:
- Orthopedic Surgery
- Hand and Wrist Surgery
Background:
- Arthrodesis is a reliable treatment for joint disorders but results in motion loss.
- The distal radioulnar joint (DRUJ) is crucial for forearm rotation.
- Maintaining DRUJ function is essential for overall wrist function.
Purpose of the Study:
- To describe the Sauvé-Kapandji (S-K) procedure for DRUJ arthrodesis.
- To highlight the S-K procedure's advantages over other techniques.
- To discuss potential complications and their prevention.
Main Methods:
- The S-K procedure involves arthrodesis of the distal radioulnar joint.
- A pseudoarthrosis is created in the ulna proximal to the arthrodesis site.
- Preservation of distal radioulnar and ulnocarpal ligaments is key.
Main Results:
- The S-K procedure maintains or improves forearm pronation and supination.
- It preserves ulnar wrist support, unlike the Darrach procedure.
- Aesthetic outcomes are superior due to maintained ulnar head prominence.
Conclusions:
- The S-K procedure is an effective surgical option for DRUJ disorders.
- It offers functional and aesthetic benefits while preserving wrist stability.
- Careful surgical technique is crucial to prevent complications like nonunion or instability.
