Functional Outcomes After Sauve-Kapandji Arthrodesis

Giberson-Chen, Carew C; Leland, Hyuma A.; Benavent, Kyra A.; Harper, Carl M.; Earp, Brandon E.; Rozental, Tamara D.

doi:10.1016/j.jhsa.2019.11.014

Cited by 21 publications

(30 citation statements)

References 19 publications

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“…Our patients after the SK procedure showed DASH scores of 24, comparable with the results of Giberson-Chen et al. (2020) with DASH scores of 28 after a follow-up of 12 months.…”

Section: Discussionsupporting

confidence: 84%

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Long-term results of Sauvé–Kapandji procedure

Reissner

Schweizer

Unterfrauner

et al. 2021

J Hand Surg Eur Vol

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The Sauvé–Kapandji procedure is an established treatment option for distal radioulnar joint dysfunction. We retrospectively analysed 36 patients following Sauvé–Kapandji procedure between 1997 and 2013. Fifteen patients were available for a follow-up after a mean of 13 years (range 6 to 23). Six patients needed revision surgery because of ulnar stump instability. Radiographs and sonography were performed to quantify the instability of the proximal ulnar stump. These showed a radioulnar convergence of 8 mm without weight and 2 mm while lifting 1 kg. Sonographically, the proximal ulnar stump dislocated by 8 mm to the volar side while applying pressure to the palm, compared with 4 mm on the contralateral side. Sonographically measured ulnar stump instability showed a positive strong correlation with the Disabilities of the Arm, Shoulder and Hand questionnaire and Patient-Reported Wrist Evaluations and a negative strong correlation with grip strength and supination torque. Because of the high incidence of revision surgery due to instability of the proximal ulnar stump, we restrict the use of the Sauvé–Kapandji procedure only to very selected cases. Level of evidence: IV

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“…Our patients after the SK procedure showed DASH scores of 24, comparable with the results of Giberson-Chen et al. (2020) with DASH scores of 28 after a follow-up of 12 months.…”

Section: Discussionsupporting

confidence: 84%

“…(2020) with DASH scores of 28 after a follow-up of 12 months. Giberson-Chen et al. (2020) reported a postoperative complication incidence of 21%, including revision osteotomy ( n = 4) and hardware removal ( n = 4), but no patient required secondary salvage procedures, such as DRUJ arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of Sauvé–Kapandji procedure

Reissner

Schweizer

Unterfrauner

et al. 2021

J Hand Surg Eur Vol

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“…In the literature review, up to 66.6% (16/24) of the total cases with documented ossification of the pseudarthrosis received surgical treatment, with individual revision rates as high as 12.9% [ 14 ] ( Table 1 ). This number is significantly higher than the most recently reported published revision rate [ 17 ] (7%). Still, not all cases with evidence of pseudarthrosis ossification exhibited debilitating symptoms or progression to synostosis [ 8 ].…”

Section: Discussioncontrasting

confidence: 66%

“…In our case, radiologic evidence of ossification was noted 17 months after surgery and progressed precipitously to near complete synostosis within 18 months postoperatively with concomitant loss of pronation and supination. With the distal radioulnar arthrodesis-hardware out of reach of the proximal ulnar stump, the remaining potentially stimulating and modifiable factors at the osteotomy site is limited to soft tissue interposition-, stabilization, or suspension methods previously described by several authors ( Table 1 ) [ 5 , 9 , 10 , 15 , 17 ]. However, according to this literature review, no significant pattern can be elucidated when evaluating for a trend of ossification towards one specific procedure modification.…”

Section: Discussionmentioning

confidence: 99%

Ossification of the pseudarthrosis following the Sauvé-Kapandji procedure: a case report and review of the literature

Aspang

Böckmann

Erhart

et al. 2021

Case Reports in Plastic Surgery and Hand Surgery

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“…12 Giberson-Chen et al, reported significant improvement in range of motion and overall functional outcome based on quick DASH score in patient who underwent Sauvé-Kapandji procedure. 14 In this study, we observed a significant (p<0.001) improvement in MMWS at 2 year follow up. The average scores improved by 69.23% compared to preoperative scores.…”

Section: Discussionsupporting

confidence: 56%

Functional outcomes after modified Sauve-Kapandji arthrodesis for distal radioulnar joint dysfunction

et al. 2021

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Background: The distal radioulnar joint (DRUJ) dysfunction manifests as pain, weakness and reduced range of motion. There are various treatments for DRUJ dysfunction. Modified Sauvé-Kapandji procedure involves arthrodesis of the distal radioulnar joint combined with the creation of a pseudarthrosis of the distal ulna to maintain forearm pronation and supination, and stabilization of proximal ulnar stump. This study was performed to evaluate the clinical outcomes of modified Sauve-Kapandji procedure for patients with DRUJ dysfunction.Methods: Fourteen patients with DRUJ dysfunction were treated by modified Sauve-Kapandji procedure and followed up for 2 years post-operatively. Functional assessment was evaluated according to modified mayo wrist score (MMWS) system and severity of pain by visual analog scale. Posteroanterior and lateral radiographs were used to assess fusion.Results: There was a significant improvement in VAS of wrist pain (p<0.001) and MMWS (p<0.001) at 2 years follow up. Excellent outcome was reported in 64.3% (n=9) patients. Radiographic fusion was seen in all 14 cases.Conclusions: The modified Sauve-Kapandji procedure for DRUJ dysfunction is a safe and effective procedure with excellent radiological fusion and significant improvement in functional outcomes.

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Functional Outcomes After Sauve-Kapandji Arthrodesis

Cited by 21 publications

References 19 publications

Long-term results of Sauvé–Kapandji procedure

Long-term results of Sauvé–Kapandji procedure

Ossification of the pseudarthrosis following the Sauvé-Kapandji procedure: a case report and review of the literature

Functional outcomes after modified Sauve-Kapandji arthrodesis for distal radioulnar joint dysfunction

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