The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture.
The
Sauve-Kapandji procedure and the Darrach procedure for distal
radio-ulnar joint dysfunction after Colles' fracture. (ABSTRACT)
This
retrospective study evaluated the results of the Darrach procedure and
the Sauve-Kapandji procedure for the treatment of distal radio-ulnar
joint derangement following malunion of dorsally displaced, unstable,
intraarticular fractures of the distal radius in patients under 50
years of age. Twelve of 18 possible patients in the Sauve-Kapandji
group completed the disabilities of the arm, shoulder, and hand survey
at a mean of 4 years postoperatively and nine of the 18 returned for a
follow-up examination at a mean of 2 years. Twenty-one of 30 possible
patients in the Darrach group completed the disabilities of the arm,
shoulder, and hand survey at a mean of 6 years postoperatively and 13
of these 30 returned for follow-up examination at a mean of 4 years.
The Darrach procedure and the Sauve-Kapandji procedure yielded
comparable and unpredictable results with respect to both subjective
and objective parameters.
Journal of Hand Surgery (Br). 2004 Dec;29(6):608-13
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