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Related Experiment Video

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"Quadrangular-construct" modification of Sauve-Kapandji procedure.

Ravi K Gupta1, Ashwani Soni1, Anubhav Malhotra1

  • 1Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.

Indian Journal of Orthopaedics
|February 21, 2017
PubMed
Summary

This study modified the Sauve-Kapandji (S-K) procedure for distal radioulnar joint disorders, achieving good functional outcomes and stability. The modified S-K procedure offers a promising solution for these challenging wrist conditions.

Keywords:
Distal radioulnar jointSauve-KapandjiWrist jointarthritisarthroplastymodification of Sauve-Kapandjiradius fractureswristwrist injuries

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Area of Science:

  • Orthopedic Surgery
  • Hand and Wrist Surgery
  • Reconstructive Surgery

Background:

  • Distal radioulnar joint (DRUJ) disorders cause pain, grip weakness, and limited forearm rotation.
  • Existing surgical salvage procedures for DRUJ disorders have limitations, including grip loss, stump pain, or instability.
  • The Sauve-Kapandji (S-K) procedure is one such salvage technique, but its outcomes can be variable.

Purpose of the Study:

  • To describe a modification of the Sauve-Kapandji (S-K) procedure for treating distal radioulnar joint (DRUJ) disorders.
  • To evaluate the functional outcomes and complications associated with this modified S-K procedure.
  • To assess the stability of the ulnar stump after the modified S-K procedure.

Main Methods:

  • Twenty patients (12 male, 8 female) with DRUJ disorders underwent the modified S-K procedure.
  • Patients were assessed preoperatively and postoperatively using the Modified Mayo Wrist Score and wrist radiographs.
  • The average follow-up period was 34.55 months (range 24-64 months).

Main Results:

  • The mean Modified Mayo Wrist Score significantly improved from 32 to 79.75 post-surgery.
  • Excellent results were observed in one patient, good results in 15 patients, and fair results in four patients.
  • The modified procedure demonstrated a stable ulnar stump without significant complications.

Conclusions:

  • The modified Sauve-Kapandji (S-K) procedure offers a good functional outcome for patients with distal radioulnar joint (DRUJ) disorders.
  • This modification provides a stable ulnar stump, minimizing common complications associated with other DRUJ salvage procedures.
  • The technique presents a viable surgical option for managing complex DRUJ pathologies.