Surgical treatment of madelung disease by the sauvé-kapandji technique

Angelini, Luis Carlos; Leite, Vilnei Mattioli; Faloppa, Flávio

doi:10.1016/s0753-9053(96)80035-4

Cited by 12 publications

(18 citation statements)

References 13 publications

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“…These procedures belong in general to three broad groups: first, surgery to correct the radius (epiphysiodesis, desepiphysiodesis, corrective osteotomy [5,6,13,14] or progressive lengthening [12]); second, surgery to correct the ulna (ulna reduction osteotomy [3,18], resection-stabilisation of the ulnar head using a Darrach procedure [6,18], radioulnar arthrodesis using the Sauvé-Kapandji procedure [2,6]); and third, the combined techniques comprising surgery on both radius and ulna [6,7,13,18,19,23]. There are too few consistent series with sufficient follow-up in the literature to allow assessment of the results of these techniques [3,7,16,18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, this procedure may destabilise the wrist by promoting ulnar and volar shift [6,13,18], even if this does not always have a clinical relevance [17]. Other authors [2,6,23] suggest a Sauvé-Kapandji procedure which offers good clinical results. For De Smet et al [6], this procedure guarantees stabilisation of the distal radioulnar joint surface and prevents ulnar shift of the wrist [18] by restoring ulnar support.…”

Section: Discussionmentioning

confidence: 99%

“…If there is significant inclination and forward tilt of the distal radial articular surface, osteotomy will be necessary to realign the radius. This technique seems preferable when skeletal maturity has been reached, or in cases where growth potential is limited [2]. We defend the conservative procedure of combined osteotomies to reposition the radius and to shorten the ulnar.…”

Section: Discussionmentioning

confidence: 99%

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Surgical correction of Madelung’s deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up

Laffosse

Abid

Accadbled

et al. 2008

International Orthopaedics (SICOT)

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Fourteen wrists in 11 girls, mean age 13.3 years (range 9-16) at surgery, were treated for Madelung's deformity. The presenting complaint was incapacitating pain. All were treated by radial closing wedge osteotomy and ulnar shortening osteotomy. The dorsal retinaculum was also surgically repaired in six cases. At a mean followup of 5.1 years (range 4-8.75), we observed improved range of motion in both flexion/extension and pronation/ supination and absence of pain during daily activity. Radiographically, positioning of the distal radial articular surface and lunate subsidence were improved. Union was obtained after all osteotomies without secondary procedures. Posterior displacement of the ulnar head persisted in two wrists. Combined radioulnar osteotomy restored the anatomy to as near normal as possible. This technique provides satisfactory and encouraging results and does not compromise the surgical future of the wrist. However, longer follow-up is required to assess recurrence or possible long-term degenerative consequences.Resumé Quatorze poignets chez 11 filles d'âge moyen 13,3 ans (9-16) à la chirurgie, ont été traités pour une déformation de Madelung. La douleur était la plainte principale. Tous les patients ont bénéficié d'une ostéotomie cunéiforme radiale de fermeture associée à un raccourcissement de l'ulna. Une plastie du retinaculum dorsal a été associée dans 6 cas. Au recul moyen de 5,1 ans (4-8,75), nous avons observé une amélioration des amplitudes articulaires aussi bien en flexion/extension qu'en pronation/supination avec absence de douleur lors des activités quotidiennes. Radiographiquement, l'orientation de la glène radiale ainsi que la subsidence du lunatum ont été améliorées. Toutes les ostéotomies ont consolidé en première intention dans des délais normaux. Un déplace-ment postérieur de la tête ulnaire persistait dans 2 cas. L'ostéotomie combinée radio-ulnaire permet de restaurer une anatomie le plus proche de la normale. Cette technique offre des resultants satisfaisants et encourageants et ne compromet pas le devenir chirurgical de ces poignets. Cependant, des études avec un plus long recul sont nécessaires afin de rechercher d'éventuelles récidives ou de possibles conséquences dégénératives à plus long terme.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical correction of Madelung’s deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up

Laffosse

Abid

Accadbled

et al. 2008

International Orthopaedics (SICOT)

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“…After the deformity was corrected, the internal osteosynthesis was performed using an AO plate type T, and the open reduction was performed (through a volar incision), internal fixation (with plate and screw) and autogenous graft removed from the right iliac bone. By blocking pronation-supination movements in patient # 3, simultaneously, this radioulnar joint complication was treated by using the Sauvè-Kapandji technique (1,10) .…”

Section: Surgical Techniquementioning

confidence: 99%

Tratamento da pseudo-artrose do terço distal do rádio

et al. 2005

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SUMMARYThe authors presented a prospective study of four patients presenting pseudoarthrosis at the distal third of the radius. Two patients were females and two were males, aged between 29 and 51 years with a mean age of 42.5 year old. The diagnosis of pseudoarthrosis was provided within an average of 5.3 months after trauma. One patient presented as personal morbid history, epilepsy and osteoporosis, two patients were smokers and obeTreatment of nounion in the third distal of the radius

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“…Many surgical procedures have been described, including excision of the distal ulna (Nielsen, 1977;Ranawat et al, 1975;Schmidt-Rohlfing et al, 2001), ulnar shortening osteotomies (Bruno et al, 2003;Nielsen, 1977;Schmidt-Rohlfing et al, 2001), wrist denervation (Schmidt-Rohlfing et al, 2001), radiocarpal arthrodesis combined with distal ulna excision (Henry and Thorburn, 1967), Sauve´-Kapandji procedure (Angelini et al, 1996), epiphysiodesis (Vickers and Nielsen, 1992), opening or closing wedge osteotomy of the distal radius (De Paula et al, 2006;Houshian et al, 2000;Murphy et al, 1996, Schmidt-Rohlfing et al, 2001, or a combination of the above (Burrows, 1937;Dos Reis et al, 1998;Nielsen, 1977;Ranawat et al, 1975;Salon et al, 2000;Watson et al, 1993;White and Weiland, 1987). Due to the rarity of the condition, few studies in the literature describe more than 15 patients.…”

Section: Introductionmentioning

confidence: 99%

Madelung’s Deformity: Radial Opening Wedge Osteotomy and Modified Darrach Procedure Using the Ulnar Head as Trapezoidal Bone Graft

Kampa

Al-Beer

Axelrod

2010

J Hand Surg Eur Vol

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Surgery may be indicated in treating Madelung's deformity and numerous techniques have been described. This study reports the early clinical and radiological results of a radial biplanar opening wedge osteotomy and modified Darrach procedure, using the excised ulnar head as a trapezoidal bone graft. Between 2000 and 2008, five adult wrists with symptomatic Madelung's deformity underwent surgery. All patients were female, with an average age at surgery of 34 years. Assessment included range of movement, grip strength, DASH scores and radiological imaging. All patients improved both subjectively and objectively with regards to pain, functional range of movement, and appearance at mean follow-up of 55 months (range 14-113). All osteotomies united. One patient required removal of hardware for restricted rotation. This technique provided satisfactory results that are comparable to other studies, and avoids the use of iliac crest bone graft.

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Surgical treatment of madelung disease by the sauvé-kapandji technique

Cited by 12 publications

References 13 publications

Surgical correction of Madelung’s deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up

Surgical correction of Madelung’s deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up

Tratamento da pseudo-artrose do terço distal do rádio

Madelung’s Deformity: Radial Opening Wedge Osteotomy and Modified Darrach Procedure Using the Ulnar Head as Trapezoidal Bone Graft

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