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CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2023; 51(02): e101-e109
DOI: 10.1055/s-0043-1777106
Artículo Original | Original Article

Results of the Sauvé-Kapandji Arthroscopy-Assisted Technique with Proximal Ulnar Stabilization

Article in several languages: español | English
Francisco J. Lucas 
1   Unidad de Cirugía de Mano y Miembro Superior. Quirón Salud, Valencia, España
,
Vicente Carratalá
1   Unidad de Cirugía de Mano y Miembro Superior. Quirón Salud, Valencia, España
,
Eva Guisasola
1   Unidad de Cirugía de Mano y Miembro Superior. Quirón Salud, Valencia, España
,
Ignacio Miranda
2   Servicio de Cirugía Ortopédica y Traumatología. Hospital Arnau de Vilanova, Valencia, España
,
Francisco J. Miranda
3   Departamento de Fisiologia, Universidad de Valencia, España
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Abstract

Introduction Distal radioulnar arthropathy causes significant functional limitation due to pain and loss of strength during forearm pronation. Our paper aimed to describe the surgical technique of the arthroscopic Sauvé-Kapandji (S-K) procedure with proximal tendon stabilization, its outcomes, complications, and advantages.

Methods This study retrospectively evaluated 11 patients. All underwent the S-K arthroscopic technique with proximal tendon stabilization performed by the same surgical team. The study assessed mobility, grip strength, Disability of Arm, Shoulder, and Hand (DASH), visual analog scale (VAS) for pain, and the Mayo Wrist Score (MWS).

Results The patients included ten males and one female, with a mean age of 39.1 years. The minimum follow-up was 12 (range, 12 to 36) months. Significant improvements were observed in flexion (preoperative, 48°/postoperative, 74°), extension (preoperative, 34°/postoperative, 48°), pronation (preoperative, 28°/postoperative, 88°), supination (preoperative, 19°/postoperative, 88°), VAS for pain (preoperative, 7.1/postoperative, 0.4), grip strength (preoperative, 19/postoperative, 45 kg), Quick DASH (preoperative, 54/postoperative, 2) and MWS (preoperative, 46/postoperative 91) scores. All patients were satisfied with the procedure at the end of the follow-up.

Discussion The S-K procedure is the gold standard technique in distal radioulnar osteoarthritis. It may be performed with arthroscopic assistance to restore wrist mobility, stability, and grip strength. Arthroscopy has several advantages, including preserving secondary joint stabilizers, improving joint cruentation and anatomical placement, reducing vascular damage, and allowing earlier rehabilitation, resulting in a lower incidence of pseudarthrosis and a better aesthetic scar.

Conclusion The S-K arthroscopic technique with proximal tendon stabilization offers better outcomes than open techniques in the short term, with a faster and more comfortable functional recovery and allowing a more precise resection and reduction.

Keywords

Sauvé-Kapandji - arthroscopy - proximal stabilisation


Publication History

Received: 09 October 2023

Accepted: 19 October 2023

Article published online:
05 December 2023

© 2023. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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