Wang W, Liu S, Liu J, Ruan H, Cai Z, Fan C
Department of Orthopaedics, Shanghai Jiaotong University Affiliated Sixth People's Hospital, No. 600 Yi Shan Road, Shanghai, 200233, People's Republic of China.
Ir J Med Sci. 2014 Dec;183(4):643-7. doi: 10.1007/s11845-014-1067-6. Epub 2014 Jan 28.
The purpose of this study is to evaluate the clinical outcomes in patients with forearm rotation limitation after successful wrist-level revascularization who underwent a modified Sauvé-Kapandji (S-K) procedure.
This was a retrospective review of the clinical records of nine patients (three women, six men) after successful wrist-level revascularization who underwent late restoration of forearm rotation. All patients were evaluated using a Mayo Modified Wrist Score. The mean patient age was 35 (range 19-45) years. Mean time to reconstruction was 2.5 (range 0.5-4) years.
Mean postoperative pronation was 74°; mean postoperative supination was 80°. Overall results were excellent/good in seven patients, fair in one, and poor in one. No bone bridge was formed between the pseudarthrosis in any patient. Two patients had neurapraxia. Moderate pain and snapping occurred in one patient during movement at the ulnar amputation site.
This modification of the S-K procedure can restore rotation of the forearm after hand revascularization; as such, it provides an alternative salvage procedure.
本研究的目的是评估成功进行腕部血管重建术后接受改良Sauvé-Kapandji（S-K）手术的前臂旋转受限患者的临床结局。
这是一项对9例（3名女性，6名男性）成功进行腕部血管重建术后接受前臂旋转晚期修复的患者临床记录的回顾性研究。所有患者均使用Mayo改良腕关节评分进行评估。患者平均年龄为35岁（范围19 - 45岁）。重建的平均时间为2.5年（范围0.5 - 4年）。
术后平均旋前角度为74°；术后平均旋后角度为80°。7例患者的总体结果为优/良，1例为中，1例为差。所有患者的假关节之间均未形成骨桥。2例患者出现神经失用。1例患者在尺骨截肢部位活动时出现中度疼痛和弹响。
这种改良的S-K手术可在手血管重建术后恢复前臂旋转；因此，它提供了一种替代性的挽救手术。
