Gupta Ravi K, Soni Ashwani, Malhotra Anubhav, Masih Gladson D
Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Indian J Orthop. 2017 Jan-Feb;51(1):99-102. doi: 10.4103/0019-5413.197556.
Subluxation of ulna in distal radioulnar joint disorders causes pain on motion, loss of grip strength, and a restriction of forearm rotation. Several procedures have been described to salvage DRUJ disorders including the Darrach procedure, the matched distal ulnar resection, the hemiresection interposition arthroplasty (Bowers procedure) and the Sauve-Kapandji (S-K) procedure. All these procedures are associated with either loss of grip, pain over proximal ulnar stump or instability. We describe our modification of S-K procedure with good functional outcome.
Twenty patients, 12 male and 8 female, underwent S-K procedure, with our modification, were included in this study. Patients were evaluated preoperatively, postoperatively, and on followup visits using Modified Mayo Wrist Score and wrist radiographs. Average followup period was 34.55 months (range 24-64 months).
Excellent results were found in one patient, good in 15 patients, and fair in four patients. Mean Modified Mayo Wrist Score improved from 32 to 79.75, which was statistically significant.
Our modification of S-K procedure provides good functional outcome with stable ulnar stump and without significant procedure-related complications.
桡尺远侧关节疾病中尺骨半脱位会导致活动时疼痛、握力丧失以及前臂旋转受限。已经描述了多种用于挽救桡尺远侧关节疾病的手术方法，包括Darrach手术、匹配的尺骨远端切除术、半切除间置关节成形术（Bowers手术）和Sauve-Kapandji（S-K）手术。所有这些手术都伴有握力丧失、尺骨近端残端疼痛或不稳定。我们描述了对S-K手术的改良，取得了良好的功能结果。
本研究纳入了20例接受了我们改良的S-K手术的患者，其中男性12例，女性8例。使用改良的梅奥腕关节评分和腕部X线片对患者进行术前、术后及随访评估。平均随访时间为34.55个月（范围24 - 64个月）。
1例患者结果为优，15例为良，4例为中。改良的梅奥腕关节评分平均从32分提高到79.75分，具有统计学意义。
我们对S-K手术的改良提供了良好的功能结果，尺骨残端稳定，且无明显的手术相关并发症。
