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45663

Sauvé-Kapandji Procedure with Limited Wrist Fusion for Disorders of the Distal Radioulnar Joint in Patients with Rheumatoid Arthritis

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Last updated: 04 Jan 2025

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Abstract

Background: The wrist is affected in as many as 95% of patients who have rheumatoid arthritis (RA). Involvement of the distal radioulnar joint leads to dorsal dislocation of the ulnar head that can cause pain, weakness, decreased forearm rotation, and rupture of the extensor tendons. When there is arthritis of the radiocarpal joint the problem become worthy. Aim: to assess the results of Sauvé-Kapandji procedure with limited wrist fusion in improving the wrist function in patients with RA. Patients and Methods: This operation was performed in seventeen wrists in seventeen consecutive patients with RA in whom Sauvé-Kapandji procedure was done in the inferior radioulnar joint with limited radiolunate fusion. Results: fifteen patients had no pain in the region of the distal radioulnar joint. Osseous union was achieved in all cases. The average time to osseous union was 8.7 weeks. The visual analog scores decreased from a mean of 7.2 before the operation to 2.0 after the operation (p < 0.01). Conclusion: Sauvé-Kapandji procedure with limited wrist fusion significantly improves the wrist functions in patients with RA.    

DOI

10.21608/scumj.2013.45663

Keywords

Rheumatoid Arthritis, Sauvé-Kapandji, limited wrist fusion

Authors

First Name

Khaled

Last Name

Abu-Elnasr

MiddleName

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Affiliation

Department of Orthopaedic Surgery, Faculty of Medicine, Suez Canal University, Egypt

Email

khaboelnasr@gmail.com

City

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Orcid

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Volume

16

Article Issue

1

Related Issue

6819

Issue Date

2013-03-01

Receive Date

2019-08-23

Publish Date

2013-03-01

Page Start

62

Page End

68

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 16_Issue 1_Pages 62-68.pdf

PDF . 219.4kB

Link

https://scumj.journals.ekb.eg/article_45663.html

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https://scumj.journals.ekb.eg/service?article_code=45663

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8

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Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Sauvé-Kapandji Procedure with Limited Wrist Fusion for Disorders of the Distal Radioulnar Joint in Patients with Rheumatoid Arthritis

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Article

Created At

22 Jan 2023