The Sauv-Kapandji procedure in the lesions of the distal radioulanr joint

Journal of the Korean Society for Surgery of the Hand 1999;4(2):227-235.
Published online January 1, 1999.

Duke Whan Chung,Young Soo Chun,Hyung gu Kwon,Chang Hee Han

Sauv-Kapandji 술식을 이용한 원위 요척골 병변의 치료

정덕환,전영수,권형구,한창희

Abstract

Purpose
: To evaluate the clinical and radiographic results of the treatment for distal radio-ulnar joint abnormalities in various patients resulting from trauma following Sauv-Kapandji procedure. Materials and methods : Between Jan. 1991 and Aug. 1998, 7 patients, 7 wrists were treated for distal radioulnar joint abnomalities resulting from trauma following Sauv-Kapandji procedure. The average age of patients were 43 years(18 - 65 years), three patients were women and four were men. The average follow up period after this procedure was 12 months(4-24 months). We analysed clinical results according to the wrist-scoring system of Mayo clinic, radiographic results according to the ulnar variance of Palmar's method. Results : All patients had improved in pain. The pronation/supination range of motion was changed from 36/34 degrees(preoperatively) to 73/60 degrees (last follow up). The flexion/extension range of motion was changed 19/38 degrees to 45/45 degrees. The wrist-scoring system of Mayo clinic was average 60 points before operation and 90 points at the last follow up. Radiologically, ulnar variance was 8mm before operation and 1mm at the last follow up. Conclusion : The Sauv-Kapandji procedure is useful in cases of chronic dislocation of the distal radioulnar joint with destruction of the joint surface.