Zimmermann R, Gschwentner M, Arora R, Gabl M, Pechlaner S
Universitätsklinik für Unfallchirurgie, Innsbruck, Austria.
Handchir Mikrochir Plast Chir. 2003 May;35(3):157-63. doi: 10.1055/s-2003-41975.
The present study was designed to evaluate long-term outcome of upper extremities and subjective self-assessment of patient disability after a Kapandji-Sauvé procedure by means of the DASH score.
Between 1986 and 1996, a modified Kapandji-Sauvé procedure was performed in 117 patients with painfully limited forearm rotation and arthrosis of the distal radioulnar joint (DRUJ). Of the 117 patients, 73 women and 32 men, whose ages at operation ranged from 22 to 74 years (average, 58 years) were retrospectively reviewed clinically and radiologically eight years (range, five to twelve years) after the operation. The DASH questionnaire was used in 43 patients.
The mean DASH score was 28 points (range, 0 to 53 points). The mean score in part A was 1.9 points, in part B 1.8 points. Worst outcomes were noted for activities requiring the exertion of force. Pain was reduced in 97 % of the patients. Forearm rotation and grip strength improved in all patients.
Our clinical findings suggest that the Kapandji-Sauvé procedure is indicated in symptomatic, non-reconstructable disorders of the DRU-joint with or without ulnocarpal impaction syndrome. The DASH questionnaire provides a general view of functional outcome after the Kapandji-Sauvé procedure, though rotation is absolutely necessary to evaluate the success of the operation.
本研究旨在通过DASH评分评估卡潘迪-索韦手术（Kapandji-Sauvé procedure）后上肢的长期预后及患者残疾情况的主观自我评估。
1986年至1996年间，对117例因桡尺远侧关节（DRUJ）疼痛性前臂旋转受限和关节病而行改良卡潘迪-索韦手术的患者进行回顾性研究。117例患者中，73例女性，32例男性，手术年龄22至74岁（平均58岁），术后8年（范围5至12年）进行临床和影像学回顾。43例患者使用了DASH问卷。
DASH评分平均为28分（范围0至53分）。A部分平均评分为1.9分，B部分为1.8分。需要用力的活动预后最差。97%的患者疼痛减轻。所有患者的前臂旋转和握力均有所改善。
我们的临床研究结果表明，卡潘迪-索韦手术适用于有症状的、不可重建的桡尺远侧关节疾病，无论是否伴有尺腕撞击综合征。DASH问卷提供了卡潘迪-索韦手术后功能预后的总体情况，不过旋转对于评估手术成功与否绝对必要。
