Treatment of distal radioulnar joint disorders with a modified Sauvé-Kapandji procedure: long-term outcome with special attention to the DASH Questionnaire.

Abstract:

INTRODUCTION:An intact distal radioulnar joint (DRUJ) is essential for normal functioning of the upper limb. Osteoarthritis of the DRUJ often leads to ulnar wrist pain, limitation of forearm rotation and reduced grip strength, all of which limit activities of daily living. Once the joint is damaged, salvage procedures are recommended. MATERIALS AND METHODS:Between 1986 and 1996 a modified Sauvé-Kapandji procedure was performed in 117 patients with painfully limited forearm rotation and osteoarthritis of the distal radioulnar joint (DRUJ). Of the 117 patients, 73 women and 32 men, whose ages at operation ranged from 22 to 74 years (average 58 years), were retrospectively reviewed clinically and radiologically 8 years (range 5-12 years) after the operation. The DASH questionnaire was used with 53 patients, 43 patients were accepted for the study, and 10 were excluded. RESULTS:Forearm rotation improved in all patients, ulnar wrist pain was reduced in 97% of the patients, and 9% had mild pain at the proximal ulnar stump. Grip strength improved from a preoperative mean of 38% to a postoperative mean of 55% compared with the contralateral side. The mean DASH score was 28 points (range 0-53 points). In all cases the arthrodesis fused within 8 weeks. The radiographs showed approximation between the proximal ulna stump and the radius compared with the preoperative situation in 74% of the patients. CONCLUSION:Our clinical and radiological findings suggest that the Sauvé-Kapandji procedure is indicated in symptomatic, non-reconstructable disorders of the DRUJ. The DASH questionnaire provides a general view of the functional outcome after the Sauvé-Kapandji procedure. The DASH questionnaire is very helpful in evaluating the effect of the Sauvé-Kapandji procedure on the entire upper limb.

authors

Zimmermann R,Gschwentner M,Arora R,Harpf C,Gabl M,Pechlaner S

doi

10.1007/s00402-003-0529-5

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

293-8

issue

6

eissn

0936-8051

issn

1434-3916

journal_volume

123

pub_type

杂志文章
  • Effects of anesthetic technique on blood loss and complications after simultaneous bilateral total knee arthroplasty.

    abstract:AIMS:Anesthetic technique affects perioperative outcomes, but less was known in simultaneous bilateral total knee arthroplasty (BTKA). A single center, retrospective analysis was carried out to prove the hypothesis that utilization of regional anesthesia would result in favorable perioperative outcomes. METHODS:Medica...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2188-8

    authors: Zhu M,Chen JY,Tan YR,Yew AK,Chong HC,Chia SL,Lo NN,Yeo SJ

    更新日期:2015-04-01 00:00:00

  • Failed joint unloading implant system in the treatment of medial knee osteoarthritis.

    abstract::In the setting of end-stage osteoarthritis of the knee, total knee arthroplasty is the gold-standard treatment. Recently, a minimally invasive, joint preserving treatment option in the treatment of medial osteoarthritis of the knee has been developed. It is called the KineSpring(®) (Moximed(®) International GmbH, Zuri...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1830-6

    authors: Citak M,Kendoff D,O Loughlin PF,Klatte TO,Gebauer M,Gehrke T,Haasper C

    更新日期:2013-11-01 00:00:00

  • Coronal tibiofemoral subluxation is not an independent risk factor for total knee arthroplasty in patients with moderate to severe varus-osteoarthritis: data from the "Osteoarthritis Initiative".

    abstract:PURPOSE:Only few prognostic factors for progression of knee osteoarthritis are well established, including varus malalignment. The purpose of this study was to evaluate whether coronal tibiofemoral subluxation is a predictor for total knee arthroplasty. METHODS:Patients from the progression subcohort of the longitudin...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2777-9

    authors: Schadler P,Kasparek M,Boettner F,Sgroi M,Faschingbauer M

    更新日期:2017-10-01 00:00:00

  • Arthroscopic lateral acromion resection (ALAR) optimizes rotator cuff tear relevant scapula parameters.

    abstract:BACKGROUND:The acromion index (AI), critical shoulder angle (CSA) and lateral acromion angle (LAA) are predictive for degenerative rotatory cuff tears. Their unfavorable values are associated with a suboptimal deltoid force vector. The aim of this study was to evaluate whether an optimization of the radiological parame...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2431-y

    authors: Altintas B,Kääb M,Greiner S

    更新日期:2016-06-01 00:00:00

  • Early detection of avascular necrosis of the femoral head following renal transplantation.

    abstract::This prospective study included 43 patients undergoing renal transplantations. Magnetic resonance imaging (MRI) and X-rays of the hip joints were produced 3 and 12 months after transplantation. In 6 hip joints of 4 patients (9.3%), we discovered femoral head necroses just 3 months after transplantation. Three of the h...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00426064

    authors: Fink B,Degenhardt S,Paselk C,Schneider T,Mödder U,Rüther W

    更新日期:1997-01-01 00:00:00

  • Healing of tibial fractures is not impaired after acute hindlimb ischemia in rats.

    abstract::The influence of transient circulatory arrest on the healing of closed tibial fractures was investigated in rats by the use of a hindlimb tourniquet technique. Twenty-four animals were randomly divided into three groups. In all animals, the left lower leg was fractured and fixed with an intramedullary nail system. In ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050245

    authors: Kase T,Skjeldal S,Nordsletten L,Reikerås O

    更新日期:1998-01-01 00:00:00

  • Complications of halo treatment for cervical spine injuries in patients with ankylosing spondylitis--report of three cases.

    abstract:BACKGROUND:Patients suffering from ankylosing spondylitis are prone to injuries of the cervical spine even with minor trauma. Although the fractures are markedly unstable, nonsurgical treatment using a halo-thoracic plaster or jacket is a common approach. METHODS:We present three patients with cervicothoracic fracture...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0488-x

    authors: Schröder J,Liljenqvist U,Greiner C,Wassmann H

    更新日期:2003-04-01 00:00:00

  • Autologous chondrocyte implantation versus ACI using 3D-bioresorbable graft for the treatment of large full-thickness cartilage lesions of the knee.

    abstract:BACKGROUND:In autologous chondrocyte implantation (ACI), the periosteum patch which is sutured over the cartilage defect has been identified as a major source of complications such as periosteal hypertrophy. In the present retrospective study, we compared midterm results of first-generation ACI with a periosteal patch ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0957-y

    authors: Erggelet C,Kreuz PC,Mrosek EH,Schagemann JC,Lahm A,Ducommun PP,Ossendorf C

    更新日期:2010-08-01 00:00:00

  • Gender differences in the accuracy of joint line tenderness for arthroscopically confirmed meniscal tears.

    abstract:INTRODUCTION:The reliability of joint line tenderness was previously investigated among other clinical tests for the diagnosis of meniscal pathology with variable results. The aim of this study was to evaluate and compare the accuracy of joint line tenderness as a clinical diagnosing test for arthroscopically confirmed...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2305-8

    authors: Haviv B,Bronak S,Kosashvili Y,Thein R

    更新日期:2015-11-01 00:00:00

  • Radiological outcome of postoperative sagittal balance on standing radiographs in comparison to intraoperative radiographs in prone position when performing lumbar spinal fusion.

    abstract:PURPOSE:Aim of this study is to show the outcome of postoperatively measured lumbar lordosis in upright position in comparison to the intraoperatively estimated lumbar lordosis in prone position, as the lumbar lordosis is one of the most important factors for the clinical outcome after spinal fusion. MATERIALS AND MET...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2755-2

    authors: Greimel F,Wolkerstorfer S,Spörrer JF,Zeman F,Hoffstetter P,Grifka J,Benditz A

    更新日期:2017-10-01 00:00:00

  • Intramedullary wiring for tibial shaft fractures in children before epiphyseal closure. Indications and technique--experience of 36 patients.

    abstract::Between 1958 and 1987 36 children underwent intramedullary wiring for tibial shaft fractures. Of these, 29 presented with combined tibial and fibular fractures, and 7 showed isolated tibial shaft fractures. Fractures were simple in 22 and compound in 14 patients. Mean patient age was 13 years (4-16 years). Only bendin...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00393880

    authors: Sim E

    更新日期:1991-01-01 00:00:00

  • High incidence of tunnel widening after anterior cruciate ligament reconstruction with transtibial femoral tunnel placement.

    abstract:BACKGROUND:This study evaluated the incidence, amount, morphology and clinical significance of bone tunnel widening (TW) at a mean 5-year period after anterior cruciate ligament reconstruction (ACLR) with a transtibial drilling technique. METHODS:Fifty-nine patients undergoing primary ACLR using quadrupled hamstring a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1596-2

    authors: Nebelung S,Deitmer G,Gebing R,Reichwein F,Nebelung W

    更新日期:2012-11-01 00:00:00

  • Orthopaedic residents' autonomy in hip fracture surgery: what is the effect on patient outcomes?

    abstract:BACKGROUND:In the context of growing prevalence of hip fractures and hip fracture surgery in the elderly, it is unknown if surgical trainee autonomy in the operating room conflicts with optimal health care provision and safety of patients. We hypothesized that surgery performed solely by residents, without supervision ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03734-7

    authors: Prat D,Maoz O,Myerson CL,Zabtani A,Afek A,Tenenbaum S

    更新日期:2021-01-23 00:00:00

  • A concept for comprehensively measuring health, function and quality of life following orthopaedic interventions of the upper extremity.

    abstract::The view that subjective complaints rather than "objective" measurements decide on whether to consult the doctor or allow for an intervention to be carried out, should contribute to the decision-making process. This is especially true in diseases with multiple joint impairments. Although a variety of patient self-asse...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0718-3

    authors: Simmen BR,Angst F,Schwyzer HK,Herren DB,Pap G,Aeschlimann A,Goldhahn J

    更新日期:2009-01-01 00:00:00

  • Compartment syndrome in dislocation and non-dislocation type proximal tibia fractures: analysis of 356 consecutive cases.

    abstract:INTRODUCTION:Dislocation type proximal tibia fractures are associated with the major soft tissue injuries. The main purpose of this study was to analyze the incidence of compartment syndrome (CS) in proximal tibia fractures in relation to the fracture type, i.e., dislocation versus non-dislocation type. We further anal...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-011-1408-0

    authors: Acklin YP,Potocnik P,Sommer C

    更新日期:2012-02-01 00:00:00

  • Aneurysmal bone cysts of the spine.

    abstract::Thirteen patients with aneurysmal bone cyst of the spine (excluding sacral lesions) were retrospectively reviewed. Treatment for aneurysmal bone cysts remains controversial, but surgical resection, irradiation, and embolization are common treatment modalities for those involving the spine. Of 102 patients with aneurys...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050381

    authors: Ozaki T,Halm H,Hillmann A,Blasius S,Winkelmann W

    更新日期:1999-01-01 00:00:00

  • The influence of talonavicular versus double arthrodesis on load dependent motion of the midtarsal joint.

    abstract:BACKGROUND:Today the most frequently used operative procedures in advanced arthritis of the hindfoot joints are isolated talonavicular arthrodesis and double arthrodesis (involving the talonavicular and calcaneocuboid joints, i.e. the Chopart joint). This in vitro study investigates whether the fusion of the talonavicu...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0878-9

    authors: Thelen S,Rütt J,Wild M,Lögters T,Windolf J,Koebke J

    更新日期:2010-01-01 00:00:00

  • No difference in clinical outcome, bone density and polyethylene wear 5-7 years after standard navigated vs. conventional cementfree total hip arthroplasty.

    abstract:INTRODUCTION:The purpose of this investigation was to compare clinical outcome, component loosening, polyethylene cup wear and periprosthetic bone mineral density between "cup first" navigated and conventional cementless total hip arthroplasty (THA) 5-7 years after surgery. MATERIALS AND METHODS:Fifty patients who rec...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2201-2

    authors: Keshmiri A,Schröter C,Weber M,Craiovan B,Grifka J,Renkawitz T

    更新日期:2015-05-01 00:00:00

  • Changes in serum levels of receptor activator of nuclear factor-kappaB ligand, osteoprotegerin, IL-6 and TNF-alpha in patients with a concomitant head injury and fracture.

    abstract:INTRODUCTION:Several reports indicated that interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF- alpha) play important regulatory roles in bone remodeling and homeostasis. In addition, receptor activator of nuclear factor-kappaB ligand (RANKL) and osteoprotegerin (OPG) have been shown to be important regulators o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0632-8

    authors: Lee JS,Ryu CH,Moon NH,Kim SJ,Park SY,Suh KT

    更新日期:2009-05-01 00:00:00

  • Reduction of orthopaedic wound infections in 21 hospitals.

    abstract:INTRODUCTION:The German national nosocomial infections surveillance system (KISS) has been collecting surveillance data from hip and knee prosthesis operations since 1997. The purpose of this article is to investigate whether surveillance and feedback of surgical site infection (SSI) information to the physicians and n...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-005-0036-y

    authors: Gastmeier P,Sohr D,Brandt C,Eckmanns T,Behnke M,Rüden H

    更新日期:2005-10-01 00:00:00

  • Weight-bearing restrictions reduce postoperative mobility in elderly hip fracture patients.

    abstract:BACKGROUND AND PURPOSE:Reduced mobility is a severe threat to the clinical outcomes and survival of elderly hip fracture patients. These patients generally struggle to comply with partial weight bearing, yet postoperative weight-bearing restrictions are still recommended by nearly 25% of surgeons. Therefore, we hypothe...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-019-03193-9

    authors: Pfeufer D,Zeller A,Mehaffey S,Böcker W,Kammerlander C,Neuerburg C

    更新日期:2019-09-01 00:00:00

  • Absorbable and non-absorbable cement augmentation in fixation of intertrochanteric femur fractures: systematic review of the literature.

    abstract::We conducted a systematic review of the literature on the use of both resorbable and non-resorbable cement as an adjunct to internal fixation of intertrochanteric hip fractures. Two reviewers independently assessed the methodological quality and extracted relevant data from each included study. In cases in which the o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-012-1677-2

    authors: Namdari S,Rabinovich R,Scolaro J,Baldwin K,Bhandari M,Mehta S

    更新日期:2013-04-01 00:00:00

  • Early postoperative Barthel index score and long-term walking ability in patients with trochanteric fractures walking independently before injury: a retrospective cohort study.

    abstract:INTRODUCTION:Trochanteric fractures are one of the most common fragility fractures, and the number of the patients is increasing worldwide. Identifying prognostic factors is important to manage and minimize the social losses caused by postoperative walking impairment. The purpose of this retrospective study is to clari...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03548-7

    authors: Inui T,Watanabe Y,Kurata Y,Suzuki T,Matsui K,Ishii K,Kurozumi T,Kawano H

    更新日期:2020-07-23 00:00:00

  • Biochemical alterations secondary to disuse atrophy in the rat's serum and limb tissues.

    abstract::Disuse atrophy has been the subject of research studies of an animal model in which single-limb immobilization induces atrophic changes in the immobilized limb. These reveal systemic changes in the experimental animals that go far beyond the local response expected in that situation and are not fully understood as yet...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050011

    authors: Cohen I,Bogin E,Chechick A,Rzetelny V

    更新日期:1999-01-01 00:00:00

  • Tibia fracture following removal of the ETN (Expert Tibia Nail): a case report.

    abstract::We report on a patient who sustained a fracture of the tibial shaft during the removal of the newest type of an intramedullary nail (Expert Tibia Nail, Synthes. In this case report, we discuss the causes of this complication and possible ways to prevent this. ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0805-5

    authors: Seebauer CJ,van Scherpenzeel KM,Haas NP,Bail HJ

    更新日期:2009-07-01 00:00:00

  • Salvage of proximal tibial malunion or nonunion with the use of angled blade plate.

    abstract:INTRODUCTION:Single buttress plating laterally was sometimes performed by a few orthopedists to treat complex tibial plateau fractures with medial compartment involvement. However, we might encounter cases with medial compartment collapse due to such treatment. The causes of failure, the technique of the revision surge...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-006-0106-9

    authors: Wu CC

    更新日期:2006-03-01 00:00:00

  • Role of an anatomically contoured plate and metal block for balanced stability between the implant and lateral hinge in open-wedge high-tibial osteotomy.

    abstract:INTRODUCTION:Open-wedge high tibial osteotomy (OWHTO) is a well-established surgical option for medial compartment osteoarthritis of the varus knee. The initial strength of the fixation plate is critical for successful correction maintenance and healing of the osteotomy site. This study was conducted to verify if a new...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2918-9

    authors: Jang YW,Lim D,Seo H,Lee MC,Lee OS,Lee YS

    更新日期:2018-07-01 00:00:00

  • Fractures of the distal tibia treated with closed reduction and minimally invasive plating.

    abstract:INTRODUCTION:The treatment of fractures of the distal tibia can be problematical because of the thin soft-tissue covering. Bridging slide-insertion plate osteosynthesis is performed by indirect, axially correct reduction of the fracture and stabilization without opening the soft tissue at the fracture site. Stripping o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-004-0778-y

    authors: Krackhardt T,Dilger J,Flesch I,Höntzsch D,Eingartner C,Weise K

    更新日期:2005-03-01 00:00:00

  • The Lubinus patellofemoral arthroplasty: a series of 17 cases.

    abstract:INTRODUCTION:The Lubinus patellofemoral arthroplasty was introduced in our institution in 1994. The first 17 patients were followed-up in order to identify the short-term outcome for this prosthesis. MATERIALS AND METHODS:The average age at surgery was 66 years (range 37-82 years). The mean follow-up was 19 months. Th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-004-0645-x

    authors: Board TN,Mahmood A,Ryan WG,Banks AJ

    更新日期:2004-06-01 00:00:00

  • Ten-year follow-up on Dutch orthopaedic blood management (DATA III survey).

    abstract:INTRODUCTION:Hip and knee arthroplasties are frequently complicated by the need for allogeneic blood transfusions. This survey was conducted to assess the current use of perioperative blood-saving measures and to compare it with prior results. MATERIALS AND METHODS:All departments of orthopaedic surgery at Dutch hospi...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1893-4

    authors: Struijk-Mulder MC,Horstmann WG,Verheyen CC,Ettema HB

    更新日期:2014-01-01 00:00:00