Low C K, Chew W Y C
Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 2002 Mar;43(3):135-7.
Sauve-Kapandji procedure is used to treat distal radioulnar joint disorder.
Sixteen patients with distal radioulnar joint (DRUJ) disease treated with Sauve-Kapandji procedure between 1996 and 1998 were available for review at an average follow up period of 32.8 months,ranging from 24 to 48 months. The patients were young and the average age at the time of procedure was 33.6 years. There were eight cases of post-traumatic DRUJ arthritis, two cases of dislocation of DRUJ with malunion of radial fractures and six cases of rheumatoid patients with destruction of DRUJ. The distal end of ulnar shaft was stabilised with a sling created using radial 1/2 slip of extensor carpi ulnaris (ECU) tendon. Functional results were evaluated with Mayo wrist score.
Fusion of DRUJ was achieved in all cases by two months. Excellent results were achieved in eight cases, good in six, fair in one and poor in one. All except one case gained increase range of forearm rotation. Complications included one case of closure of pseudoarthrosis and required excision of the ulna head to restore forearm rotation.
Sauve-Kapandji procedure is recommended in young patients with distal radioulnar joint disorder.
Sauve-Kapandji手术用于治疗桡尺远侧关节紊乱。
1996年至1998年间采用Sauve-Kapandji手术治疗的16例桡尺远侧关节（DRUJ）疾病患者可供回顾性研究，平均随访期为32.8个月，范围为24至48个月。患者均较年轻，手术时的平均年龄为33.6岁。其中创伤后DRUJ关节炎8例，DRUJ脱位合并桡骨骨折畸形愈合2例，类风湿性患者DRUJ破坏6例。尺骨远端通过使用尺侧腕伸肌（ECU）肌腱桡侧1/2腱束形成的吊带进行稳定。采用Mayo腕关节评分评估功能结果。
所有病例在两个月内均实现了DRUJ融合。8例结果优秀，6例良好，1例一般，1例较差。除1例患者外，所有患者的前臂旋转范围均增加。并发症包括1例假关节闭合，需要切除尺骨头以恢复前臂旋转。
对于患有桡尺远侧关节紊乱的年轻患者，推荐使用Sauve-Kapandji手术。
