Guo Zhitao, Wang Yuli, Zhang Yacong
Orthopedics Sector 1, Tianjin Xiqing hospital, Tianjin, 300380, China, Tel: +86 022 27960246.
Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, 300052, China.
Open Med (Wars). 2017 Dec 5;12:417-423. doi: 10.1515/med-2017-0060. eCollection 2017.
To evaluate the clinical and radiographic outcomes of a modified Sauve-Kapandji procedure for patients with old fractures in the distal radius.
Fifteen patients (10 male and 5 female patients with an average age of 40 years old) were treated by the modified Sauve-Kapandji procedure from January 2014 to April 2016. All patients had undergone at least one previous operation on the involved wrist, and they were still suffering from pain and functional limitations at the time of admission. The postoperative follow-up period was 12-26 months and the average was 20 months. Functional assessment was made at the last follow-up. All patients were evaluated according a Modified Mayo Wrist Score system.
Of the fifteen patients with posttraumatic arthritis, thirteen had excellent results, two had good results, and one had fair results. There were no major complications.
The modified Sauve-Kapandji procedure is a safe and effective surgical alternative for intractable disorders of the distal radioulnar joint and can be recommended as a salvage procedure when previous treatments fail.
评估改良Sauve-Kapandji手术治疗桡骨远端陈旧性骨折患者的临床及影像学结果。
2014年1月至2016年4月，采用改良Sauve-Kapandji手术治疗15例患者（10例男性，5例女性，平均年龄40岁）。所有患者受累腕部均至少接受过一次手术，入院时仍存在疼痛和功能受限。术后随访时间为12 - 26个月，平均20个月。在最后一次随访时进行功能评估。所有患者均根据改良梅奥腕关节评分系统进行评估。
15例创伤性关节炎患者中，13例结果优秀，2例结果良好，1例结果一般。无重大并发症。
改良Sauve-Kapandji手术是治疗桡尺远侧关节顽固性疾病的一种安全有效的手术选择，当先前治疗失败时可作为挽救手术推荐。
