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

Authors

  • Hiranya Kumar Seenappa Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India
  • Karthik Narayanamurthy Mittemari Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India
  • Shivaraj Nadagouda Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India
  • Vamshikrishna Chand Nimmagadda Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India http://orcid.org/0000-0003-3535-4880

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20210623

Keywords:

Distal radioulnar joint, Modified Sauvé-Kapandji procedure, Modified mayo wrist score

Abstract

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.

 

Author Biographies

Hiranya Kumar Seenappa, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India

Professor & HOD

Karthik Narayanamurthy Mittemari, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India

Professor

Shivaraj Nadagouda, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India

Assistant Professor

Vamshikrishna Chand Nimmagadda, Department of Orthopedics, Vydehi Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India

Assistant Professor

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Published

2021-02-23

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Original Research Articles