Kapandji I A
Ann Chir Main. 1986;5(3):181-93. doi: 10.1016/s0753-9053(86)80057-6.
The Kapandji-Sauvé operation consists in the arthrodesis of the distal radioulnar joint surmounted with a segmentary resection of the lower ulna. This technique may be used not only in rheumatoid dislocations of the distal radioulnar joint instead of the resection of the distal end of the ulna (Moore-Darrach) but also in traumatic diseases such as dislocations, sprains, chronical instabilities of this joint and stiffness secondary to Colles fractures. Two techniques are described, following the original one proposed in 1936. The first one (Technique I) indicated to chronical instabilities secondary to sprains and distal radioulnar dislocations. In this case, the ulnar head is in right situation at the sigmoid notch level and may be blocked at this place with two screws in mid position of prono-supination. The gap between the two extremities of the ulna must be filled by the pronator quadratus to avoid bony reconstruction. The second one (Technique II) is especially designed for the limitations of the prono-supination motion after Colles fractures, with shortening of the radius which causes an incongruency of the distal radioulnar joint and a positive ulnar variance. In this case it is necessary to lift up the ulnar head before blocking it in the sigmoid notch. A proceeding doing this automatically is described. Technique I was used in three cases and Technique II in four. In all cases the range of the prono-supination motion was normal in three to six weeks. The pains disappeared except a slight one when holding a load in supination position and when resting the hand unsteadily. The stability of the wrist was recovered allowing to unwind screw caps and to turn door knobs.
卡潘迪吉-索韦手术包括桡尺远侧关节融合术，并辅以尺骨下端的节段性切除。该技术不仅可用于类风湿性桡尺远侧关节脱位，替代尺骨远端切除术（穆尔-达拉赫手术），还可用于创伤性疾病，如该关节的脱位、扭伤、慢性不稳定以及科利斯骨折继发的僵硬。本文描述了两种技术，遵循1936年提出的原始技术。第一种技术（技术I）适用于扭伤和桡尺远侧关节脱位继发的慢性不稳定。在这种情况下，尺骨头在乙状切迹水平位置正常，可在旋前-旋后中间位置用两枚螺钉将其固定在此处。尺骨两端之间的间隙必须由旋前方肌填充，以避免骨重建。第二种技术（技术II）专门针对科利斯骨折后旋前-旋后运动受限设计，桡骨缩短导致桡尺远侧关节不协调和尺骨正向变异。在这种情况下，在将尺骨头固定在乙状切迹之前，有必要将其抬起。本文描述了一种自动进行此操作的方法。技术I用于3例，技术II用于4例。在所有病例中，旋前-旋后运动范围在3至6周内恢复正常。除了在旋后位持重物和手部不稳定休息时有轻微疼痛外，疼痛消失。手腕的稳定性得以恢复，能够拧开螺帽和转动门把手。
