The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture
George MS, Kiefhaber TR, Stern PJ. “The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles’ fracture”, Journal of Hand Surgery (Br.) 2004; 29(6):608-613
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.
