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Journal of Hand Surgery (British and European Volume)
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Articles

The Sauvé-Kapandji Procedure for Chronic Dislocation of the Distal Radio-Ulnar Joint with Destruction of the Articular Surface

R. NAKAMURA
K. TSUNODA
K. WATANABE
E. HORII
T. MIURA

From the Department of Orthopaedic Surgery, Division of Hand Surgery, Nagoya University School of Medicine, Nagoya, Japan

Correspondence: Ryogo Nakamura, M.D., Department of Orthopaedic Surgery, Branch Hospital of Nagoya University, School of Medicine, 1-1-20 Daikominami, Higashiku, Nagoya, Japan.

The Sauvé-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° 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° 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 Sauvé-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.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 2, 127-132 (1992)
DOI: 10.1016/0266-7681(92)90071-9
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