Gong Hyun Sik, Chung Myung Ki, Baek Goo Hyun
Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, Korea.
Hand Surg. 2014;19(2):227-9. doi: 10.1142/S0218810414720150.
The advantage of preserving the distal radioulnar joint in wrist disarticulation is that full forearm rotation is possible if the joint is intact, which improves the capability of the amputee. The Sauvé-Kapandji procedure has been performed to treat rheumatoid or post-traumatic chronic instability and/or arthritis of the distal radioulnar joint. We report a patient with wrist disarticulation that presented to us with limited supination of the wrist due to an injured distal radioulnar joint. We performed the Sauvé-Kapandji procedure, and the patient could regain functional supination of the forearm without losing the ulnar styloid flare that improved prosthetic suspension. This case suggests that the Sauvé-Kapandji procedure can be performed to maintain the advantage of wrist disarticulation even when the initial trauma involves an irreparable injury of the distal radioulnar joint.
在腕关节离断术中保留桡尺远侧关节的优势在于，如果该关节完好无损，前臂能够进行充分旋转，这可提高截肢者的能力。已采用Sauvé-Kapandji手术治疗类风湿性或创伤后桡尺远侧关节慢性不稳定和/或关节炎。我们报告了1例腕关节离断术患者，因桡尺远侧关节损伤导致腕关节旋前受限。我们实施了Sauvé-Kapandji手术，患者能够恢复前臂的功能性旋前，且未失去尺骨茎突膨大，这改善了假肢悬吊效果。该病例表明，即使初始创伤累及桡尺远侧关节的不可修复损伤，也可实施Sauvé-Kapandji手术以保留腕关节离断术的优势。
