[Late outcome of Kapandji-Sauvé distal radio-ulnar arthrodesis]

Abstract

In a retrospective study the outcome of patients treated by the Kapandji-Sauvé procedure was evaluated. In the period from 1989 to 1993, 18 patients were operated. The arthrodesis of the distal radioulnar joint was performed by a dorsoulnar incision using one screw. A 2 cm long segment of the ulna was resected. Indications for Kapandji-Sauvé procedures were in 12 cases deformities subsequent to wrist fractures, in three cases osteoarthrosis of the distal radioulnar joint, in two cases Madelung's deformity and in one case Kienböck's disease. The mean follow-up time was 5.1 years (range 3 to 7 years). There was one case of reossification, which required reoperation. No other complications were seen. An excellent result was obtained in seven patients, a good result in nine patients, one patient showed satisfactory and one poor results. Grip strength was normal in six cases, reduced up to 20% in seven cases and reduced up to 50% in five cases. 13 patients returned to their previous occupation. 12 patients showed a range of pronation-supination of more than 150 degrees. There was no correlation between X-ray findings and clinical outcome in patients.