Modified Sauve-Kapandji procedure with stabilisation of the proximal ulnar stump using extensor carpi ulnaris tendon for treating distal radioulnar joint disorders: A case series
Keywords:modified Sauve-Kapandji procedure, distal radioulnar joint disorder, extensor carpi ulnaris tenodesis
Distal radioulnar joint (DRUJ) disorders often lead to wrist pain, restriction of forearm rotation, and loss of grip strength. Several procedures are available to treat the disorder; however, there is no single procedure superior to another. In this study, we performed modified Sauve-Kapandji procedure with stabilisation of the proximal ulnar stump using extensor carpi ulnaris (ECU) tendon.
We evaluated three patients with DRUJ disorders. We performed modified Sauve-Kapandji procedure with ECU tenodesis to all patients. Functional outcomes, including range of motion, grip power, and visual analogue scale, were recorded prospectively.
Results: All patients had increased supination-pronation function with no reducing effect on grip power and no pain in the short term follow up. The benefits of the surgery were immediately shown following the day after the procedure. No complications occurred.
The modified Sauve-Kapandji procedure with ECU tenodesis could be an option in the management of DRUJ disorders. Further larger studies with controls are required to investigate the safety and efficacy of such procedure.
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