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

Published by Admin Journal on

Issue
Aug
Year
Volume
2
No. 2

Abstract

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.

Materials and 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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