The authors describe in a group of 22 patients their experience with Sauvé-Kapandji's operation in posttraumatic damage of the distal radioulnar joint. They analyze the causes of affection of the distal radioulnar joint, discuss the functional anatomy of this joint and describe the technique of operation. In the discussion they deal with possible complications and analyze in detail their results. They suggest a pattern of evaluation of the results of surgery based on objective and subjective findings. In the conclusion they mention the satisfactory results of this operation if the correct surgical technique is used and careful indication of the operation is made.