Document Detail


Stabilization of the proximal ulnar stump in the Sauvé-Kapandji procedure by using the extensor carpi ulnaris tendon: long-term follow-up studies.
MedLine Citation:
PMID:  16516739     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The Sauvé-Kapandji procedure is considered a useful treatment option for distal radioulnar disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may be symptomatic. We modified the Sauvé-Kapandji procedure by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon. We previously reported on 13 patients with this procedure at an average follow-up period of 35 months; the patients had satisfactory clinical results and improved stability of the proximal ulnar stump as shown by x-ray examination. In this article we address the question of whether those clinical and radiographic results noted at an average follow-up period of 35 months after surgery were maintained at later follow-up examinations. METHODS: We re-examined 12 of the 13 original patients and compared their initial follow-up results with their current results after an average follow-up period of 95 months. RESULTS: The results of this series after 95 months of follow-up evaluation were similar to the results at 35 months. CONCLUSIONS: The results presented in this article suggest that the clinical radiographic results at the 35-month follow-up examination were maintained in the long-term 95-month follow-up evaluation despite the finding that the hole in the proximal ulnar stump had broken in 3 wrists at follow-up examination. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic, Level IV.
Authors:
Akio Minami; Norimasa Iwasaki; Jun-Ichi Ishikawa; Naoki Suenaga; Hiroyuki Kato
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  31     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-03-06     Completed Date:  2006-07-20     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  440-4     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Nishi-7-chome, Sapporo, Japan. a-minami@med.hokudai.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthralgia / physiopathology,  surgery
Employment
Female
Follow-Up Studies
Hand Strength / physiology
Humans
Joint Instability / physiopathology,  radiography,  surgery*
Male
Middle Aged
Osteoarthritis / physiopathology,  radiography,  surgery*
Pain Measurement
Range of Motion, Articular / physiology
Tendon Transfer / methods*
Tendons / radiography,  surgery
Ulna / physiopathology,  radiography,  surgery*
Wrist Joint / physiopathology,  radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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