A CASE STUDY OF CHRONIC POST TRAUMATIC DISORDER OF DISTAL RADIOULNAR JOINT TREATED BY SAUVE KAPANDJI METHOD

Dr. Kautilyakumar V. Mahida

Abstract


Aim : The aim of the study was to assess the radiological and functional outcome of disorder of distal radioulnar joint treated with sauve kapandji method.

Materials and method : : In a retrospective study, a patient with post-traumatic derangement of the DRUJ that underwent the SK procedure was included. The radiologic outcome was evaluated using the assessment of union, ulnar variation, and radial deviation. The forearm range of motion and Mayo Modified Wrist Score (MMWS) was used for the clinical evaluation of the outcome. The grip strength of the injured hand was compared with the grip strength of contralateral hand.

Result :  The extension, flexion, supination, and pronation of the patient was 70°, 70°, 80°, and 80°, respectively. The ulnar and radial deviations were 30° and 25°, respectively. The grip strength was 38 Ib for the injured hand and 45 Ib for the non-injured hand. The mean MMWS was 90. Based on the MMWS, the functional outcome was categorized as excellent. At the last follow-up, radiologic union was observed. No other complications were recorded.

Conclusions: The SK procedure could result in acceptable radiologic and functional outcomes for the management of post-traumatic DRUJ problems.


Keywords


Sauve-Kapandji Procedure, Distal Radioulnar Joint, Fracture, Outcome

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References


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