Sanders R A, Frederick H A, Hontas R B
Hughston Orthopaedic Clinic, P.C., Columbus, GA 31995.
J Hand Surg Am. 1991 Nov;16(6):1125-9. doi: 10.1016/s0363-5023(10)80078-4.
The Sauvé-Kapandji procedure, a distal radioulnar arthrodesis with surgical creation of a pseudoarthrosis in the distal ulna, was used to treat 11 patients. Although all patients had had at least one previous operation on the involved wrist, they were still having pain and functional limitations. Ten patients were available for follow-up, which averaged 33 months. Of the nine patients with posttraumatic arthritis, six had excellent results (a painless wrist that averaged 82 degrees of pronation and 83 degrees of supination). Three patients had good results (mild pain during activities with an identical range of forearm rotation). One patient who had rheumatoid arthritis had an excellent result for 3 years but recently had a radiocarpal wrist fusion because of radiocarpal arthritis. We have found the Sauvé-Kapandji procedure to be a reliable treatment option for intractable disorders of the distal radioulnar joint and recommend it as a salvage procedure when previous treatment has failed.
采用Sauvé-Kapandji手术（一种尺桡远侧关节融合术，通过手术在尺骨远端制造假关节）治疗11例患者。尽管所有患者此前至少对患侧腕关节进行过一次手术，但仍存在疼痛和功能受限的情况。10例患者可供随访，平均随访时间为33个月。在9例创伤后关节炎患者中，6例效果极佳（腕关节无痛，平均旋前82度，旋后83度）。3例患者效果良好（活动时有轻度疼痛，前臂旋转范围相同）。1例类风湿关节炎患者在3年内效果极佳，但最近因桡腕关节炎进行了桡腕关节融合术。我们发现Sauvé-Kapandji手术是治疗尺桡远侧关节顽固性疾病的可靠选择，并建议在先前治疗失败时将其作为挽救手术。
