遠位橈尺関節障害に対する Sauvé-Kapandji 法の治療成績

抄録

Eight patients with unilateral distal radio-ulnar wrist disorders were treated using the Sauvé-Kapandji procedure.
Disorders consisted of 5 malunited Colles' fractures, 1 distal radio-ulnar osteoarthritis, 1 Madelung's deformity and 1 chronic dislocation of the ulnar head.
Follow-up periods ranged from 6 to 20 months with an average of 12 months.
Relief of wrist pain was obtained and foream rotation improved to become almost equal to that of the opposite side in all patients postoperatively.
However three patients complained mild pain at the proximal stump of the ulna. This operation reduces pain well and improves forearm rotation but a propensity for ulnar impingement is still present. There fore we only use this procedure when the distal radio-ulnar joint disorder is caused by destruction of the sigmoid notch in RA, osteoarthritis and malunited Colles' fractures.