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A simplified technique of the Sauvé-Kapandji (SK) procedure for disorders of the distal radioulnar joint (DRUJ) is described. The DRUJ is transfixed by a screw but is not formally exposed and fused, the periosteum of the distal ulna is not excised, and the pronator quadratus is not advanced into the pseudarthrosis. Stability of the ulna shaft is obtained by suturing the sheath of the extensor carpi ulnaris (ECU) and periosteum as a single layer firmly over the ulnar stump and pseudarthrosis. The operating time averages 20 minutes. Review of 28 wrists demonstrated relief of pain in 27; 80 degrees or greater of pronation and supination in 19 and 20, respectively; fusion of the DRUJ in 18; and ulnar carpal shift in 3. The main complications were related to screw placement and length and prominence of the ECU tendon. The simplified SK procedure reliably relieves pain and restores movement at the DRUJ.
A G Rothwell, and
L O'Neill, and
K Cragg
January 2013,
Revista espanola de cirugia ortopedica y traumatologia,
A G Rothwell, and
L O'Neill, and
K Cragg
June 2004,
Acta orthopaedica Belgica,
A G Rothwell, and
L O'Neill, and
K Cragg
January 1994,
Acta orthopaedica Belgica,
A G Rothwell, and
L O'Neill, and
K Cragg
June 2022,
The journal of hand surgery Asian-Pacific volume,
A G Rothwell, and
L O'Neill, and
K Cragg
July 1995,
The Journal of hand surgery,
A G Rothwell, and
L O'Neill, and
K Cragg
December 2008,
Techniques in hand & upper extremity surgery,
A G Rothwell, and
L O'Neill, and
K Cragg
November 1991,
The Journal of hand surgery,
A G Rothwell, and
L O'Neill, and
K Cragg
October 2003,
Zeitschrift fur Rheumatologie,
A G Rothwell, and
L O'Neill, and
K Cragg
May 2018,
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association,
A G Rothwell, and
L O'Neill, and
K Cragg
January 2005,
The Journal of bone and joint surgery. American volume,
