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. 2021 Jun;10(3):190-195.
doi: 10.1055/s-0040-1721452. Epub 2020 Dec 26.

Range of Motion after the Sauvé-Kapandji and Darrach Procedures without Extensor Tendon Rupture

Tomoyuki Kato  1 , Taku Suzuki  2 , Makoto Kameyama  3 , Masato Okazaki  1 , Yasushi Morisawa  4 , Masao Nishiwaki  5 , Toshiyasu Nakamura  6 , Kazuki Sato  7 , Takuji Iwamoto  2
Affiliations

Range of Motion after the Sauvé-Kapandji and Darrach Procedures without Extensor Tendon Rupture

Tomoyuki Kato et al. J Wrist Surg. 2021 Jun.

Abstract

Background Previous study demonstrated that distal radioulnar joint (DRUJ) plays a biomechanical role in extension and flexion of the wrist and suggested that fixation of the DRUJ could lead to loss of motion of the wrist. Little is known about the pre- and postoperative range of motion (ROM) after the Sauvé-Kapandji (S-K) and Darrach procedures without tendon rupture. To understand the accurate ROM of the wrist after the S-K and Darrach procedures, enrollment of patients without subcutaneous extensor tendon rupture is needed. Purpose This study aimed to investigate the pre- and postoperative ROM after the S-K and Darrach procedures without subcutaneous extensor tendon rupture in patients with rheumatoid arthritis (RA) and osteoarthritis (OA). Methods This retrospective study included 36 patients who underwent the S-K procedure and 10 patients who underwent the Darrach procedure for distal radioulnar joint disorders without extensor tendon rupture. Pre- and postoperative ROMs after the S-K and Darrach procedures were assessed 1 year after the surgery. Results In the S-K procedure, the mean postoperative ROM of the wrist flexion (40 degrees) was significantly lower than the mean preoperative ROM (49 degrees). In wrist extension, there were no significant differences between the mean preoperative ROM (51 degrees) and postoperative ROM (51 degrees). In the Darrach procedure, the mean postoperative ROM of the wrist flexion and extension increased compared with the mean preoperative ROM; however, there were no significant differences. Conclusion In the S-K procedure, preoperative ROM of the wrist flexion decreased postoperatively. This study provides information about the accurate ROM after the S-K and Darrach procedures. Level of Evidence This is a Level IV, therapeutic study.

Keywords: Darrach's procedure; Sauvé–Kapandji procedure; no tendon rupture; range of motion; tendon rupture; without tendon rupture.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
( A ) Sauvé-Kapandji (S-K) procedure. ( B ) The Darrach procedure.
See this image and copyright information in PMC

References

    1. Maeda A, Suzuki T, Hasegawa M. Sauvé-Kapandji procedure with headless compression screw in patients with rheumatoid arthritis. Mod Rheumatol. 2018;28(01):114–118. - PubMed
    1. Minami A, Kamiya Y, Tojo Y, Harmon S M, Suda K. Modified Sauvé-Kapandji procedure for the distal radioulnar joint disorders of osteoarthritis and rheumatoid arthritis. J Orthop Sci. 2018;23(03):516–520. - PubMed
    1. Toyama S, Tamai K, Sakamoto A, Hirashima T. The short-term outcome of the modified Sauvé-Kapandji procedure regarding range of motion, carpal bone translation and bony shelf size. Mod Rheumatol. 2011;21(01):37–42. - PubMed
    1. Fujita S, Masada K, Takeuchi E, Yasuda M, Komatsubara Y, Hashimoto H. Modified Sauvé-Kapandji procedure for disorders of the distal radioulnar joint in patients with rheumatoid arthritis. J Bone Joint Surg Am. 2005;87(01):134–139. - PubMed
    1. Momohara S, Mamizuka K, Yonemoto K, Tomatsu T, Inoue K. Clinical and radiological manifestations of the rheumatoid wrist after the Sauvé-Kapandji procedure. Mod Rheumatol. 2004;14(03):231–235. - PubMed