THE SAUVE-KAPANDJI PROCEDURE FOR CHRONIC DISLOCATION OF THE DISTAL RADIOULNAR JOINT WITH DESTRUCTION OF THE ARTICULAR SURFACE

被引：62
作者：
NAKAMURA, R
TSUNODA, K
WATANABE, K
HORII, E
MIURA, T
机构：
[1] Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, Nagoya
来源：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1992年 / 17B卷 / 02期
关键词：
D O I：
10.1016/0266-7681(92)90071-9
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
The Sauve-Kapandji procedure has been performed in 15 non-rheumatoid patients with chronic distal radio-ulnar joint dislocation accompanied by joint damage or deformity. The clinical results were favourable; wrist pain improved in all patients, wrist flexion-extension was increased by more than 10-degrees in nine patients, grip strength of at least 80% of the contralateral wrist was achieved in 11 patients, and forearm rotation was more than 150-degrees in 12 patients. However, X-ray examination revealed an unstable proximal ulnar stump and radio-ulnar convergence in all patients similar to that associated with the Darrach procedure. Although the Sauve-Kapandji procedure can preserve ulnar support of the wrist and is believed to yield more satisfactory results than the Darrach procedure, its extensive use is not recommended for non-rheumatoid distal radio-ulnar joint disorders, but it is recommended for chronic distal radio-ulnar joint dislocation with articular injury or deformity.
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页码：127 / 132
页数：6
相关论文
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