Taleisnik J
Department of Orthopaedic Surgery, University of California, Irvine School of Medicine.
Clin Orthop Relat Res. 1992 Feb(275):110-23.
In 1936, Sauvé and Kapandji described a procedure that included an arthrodesis across the distal radioulnar joint and created a pseudarthrosis of the ulna, proximal to the fusion, to restore pronation and supination. The author has used this technique because preservation of the head of the ulna minimizes the potential for some of the complications that can follow its excision. Retention of the head of the ulna would secure a more normal transmission of loads across the wrist, maintain full support to the carpal condyle and to the extensor carpi ulnaris tendon, and preserve the normal contour and appearance of the wrist. This paper presents the author's experience using this procedure in 37 wrists with rheumatoid arthritis, osteoarthrosis and posttraumatic changes of the distal radioulnar joint, and chondromalacia of the head of the ulna. This is a satisfactory operation, although not infallible. It is probably contraindicated when treating the unstable or frankly subluxed or dislocated distal radioulnar joint, ulna dorsal, a therapeutic problem for which there is no reliable solution. Indications for the Sauvé-Kapandji technique are discussed in relation to other operations frequently used for the distal radioulnar joint.
1936年，索维和卡潘迪描述了一种手术方法，该方法包括通过桡尺远侧关节进行关节融合，并在融合近端形成尺骨假关节，以恢复旋前和旋后功能。作者采用这种技术是因为保留尺骨头可将其切除后可能出现的一些并发症风险降至最低。保留尺骨头能确保更正常的负荷通过腕部传递，维持对腕骨髁和尺侧腕伸肌腱的充分支撑，并保持腕部的正常轮廓和外观。本文介绍了作者在37例患有类风湿性关节炎、骨关节炎、桡尺远侧关节创伤后改变以及尺骨头软骨软化症的腕关节中应用该手术方法的经验。这是一种令人满意的手术，尽管并非万无一失。在治疗不稳定或明显半脱位或脱位的桡尺远侧关节（尺骨背侧）时，该手术可能是禁忌的，这是一个尚无可靠解决方案的治疗难题。结合常用于桡尺远侧关节的其他手术，讨论了索维 - 卡潘迪技术的适应证。
