Abstract

PENA MARRERO, Liván et al. Application of the modified Sauvé-Kapandji technique in the treatment of posttraumatic osteoarthritis of the radiocubital distal articulation. Rev Cubana Ortop Traumatol [online]. 2006, vol.20, n.2, pp. 0-0. ISSN 1561-3100.

22 patients with diagnosis of posttraumatic osteoarthritis of the radiocubital distal articulation that were surgically treated by a modification of Sauvé-Kapandji technique were studied from January 2001 to January 2005. The average age of the patients was 51 years old.15 were females and 7 males. The most frequent initial injury was the intraarticular fracture of the distal extreme of the radius with radiocubital distal disjunction (66.2 %).Distal osteotomy of the radius was performed in 8 patients, in addition to Kapandji procedure. The commonest syndrome was the limitation to pronosupination (86.6 %). The average preoperative of dorsal flexion of the wrist was 25º and increased to 55º after the surgical procedure, palmar flexion rose from 44º to 52º, forearm supination ascended from 23º to 72º an that of pronation grew from 38º to 60º. The pain dissapeared in 54.5 % of the cases and in 22.8 % was present when great efforts were made. The most frequent complication was instability of the proximal cubitus segment (2 cases).

Keywords : radiocubital osteoarthritis; treatment; Sauvé-Kapandji technique..

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