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
DOI:
https://doi.org/10.31282/joti.v2n2.40Keywords:
modified Sauve-Kapandji procedure, distal radioulnar joint disorder, extensor carpi ulnaris tenodesisAbstract
Introduction:
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.
Methods:
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.
Conclusion:
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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References
Low CK, Chew WYC. Results of Sauve-Kapandji Procedure. Singapore Med J. 2002;43(3):135–7.
Lluch A. The Sauvé-Kapandji Procedure. J Wrist Surg. 2013;2(1):33–40.
Guo Z, Wang Y, Zhang Y. Modified Sauve-Kapandji procedure for patients with old fractures of the distal radius. Open Med. 2017;12:417–23.
Gupta R, Soni A, Malhotra A, Masih G. “Quadrangular-construct” modification of Sauve-Kapandji procedure. Indian J Orthop. 2017;51(1):99–102.
Tomori Y, Sawaizumi T, Nanno M, Takai S. Functional outcomes after the Sauvé-Kapandji procedure for distal radio-ulnar post-traumatic instability: a case-control comparison of three different operative methods of stabilization of the ulnar stump. Int Orthop. 2018;42(9):2173–9.
Nakamura R, Tsunoda K, Watanabe K, Horii E, Miura T. The Sauvé-Kapandji procedure for chronic dislocation of the distal radio-ulnar joint with destruction of the articular surface. J Hand Surg (British Eur Vol. 1992;17(2):127–32.
Minami A, Suzuki K, Suenaga N, Ishikawa J ichi. The Sauvé-Kapandji procedure for osteoarthritis of the distal radioulnar joint. J Hand Surg Am. 1995;
Minami A, Iwasaki N, Ishikawa J, Suenaga N, Yasuda K, Kato H. Treatments of osteoarthritis of the distal radioulnar joint: long-term results of three procedures. Hand Surg. 2005;10(2–3):243–8.
Uerpairojkit C, Leechavengvongs S, Malungpaishorpe K, Witoonchart K, Buddhavibul P. Proximal ulnar stump stability after using the pronator quadratus muscle transfer combined with the Suavé-Kapandji procedure in rheumatoid wrist. Hand Surg. 2014;19(1):25–32.
Breen TF, Jupiter JB. Extensor carpi ulnaris and flexor carpi ulnaris tenodesis of the unstable distal ulna. J Hand Surg Am. 1989;14(4):612–7.
Minami A, Kato H, Iwasaki N. Modification of the Sauve-Kapandji procedure with extensor carpi ulnaris tenodesis. J Hand Surg Am. 2000;25(6):1080–4.
Lamey DM, Fernandez DL. Results of the modified Sauvé-Kapandji procedure in the treatment of chronic posttraumatic derangement of the distal radioulnar joint. J Bone Joint Surg Am. 1998;80(12):1758–69.
Couturier C, Alnot JY, Masmejean E. [Dorsal instability of the ulnar stump following distal resection: hemi extensor-carpi-ulnaris stabilization procedure]. Chir Main. 2002;21(4):242–51.
Chu PJ, Lee HM, Hung ST, Shih JT. Stabilization of the proximal ulnar stump after the Darrach or Sauvé-Kapandji procedure by using the extensor carpi ulnaris tendon. Hand. 2008;3(4):346–51.
Fernandez DL. Correction of post-traumatic wrist deformity in adults by osteotomy, bone-grafting, and internal fixation. J Bone Jt Surg - Ser A. 1982;64(8):1164–78.
Ishikawa JI, Iwasaki N, Minami A. Influence of distal radioulnar joint subluxation on restricted forearm rotation after distal radius fracture. J Hand Surg Am. 2005;30(6):1178–84.
