Downloaded 16 times
Uploaded byCa Mü
Sauve kapanji
This document discusses and compares two surgical procedures for treating distal radio-ulnar joint pathology: the Sauvé-Kapandji procedure and the Darrach procedure. It reviews the anatomy, biomechanics, causes of arthrosis, and presents findings from three studies that compared the outcomes of the two procedures. The first study found the Sauvé-Kapandji resulted in better force distribution, though not significantly. The second study found comparable results. The third study found the Sauvé-Kapandji superior in reducing ulnar migration and improving grip strength. Overall, the Sauvé-Kapandji procedure may provide better outcomes for treating distal radio-ulnar joint pathology.
More Related Content
Sauve kapanji
- 1. Dr. med. CamilloMüller Centre de la Main CHUV, Lausanne Sauvé-Kapandji vs Darrach
- 3.
- 4. 07/06/2016 44 • Bibliographie INTRODUCTION introduction anatomy biomechanic arthrosis comparison Faut-ilpréférer l’intervention de Sauvé-Kapandji à celle de Darrach en cas de pathologie de l’articulation radio-ulniare distale?
- 5.
- 6.
- 7.
- 8.
- 9. 07/06/2016 99 • Bibliographie BIOMECHANIC introduction anatomy biomechanic arthrosis comparison JDer Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 10. 07/06/2016 1010 • Bibliographie BIOMECHANIC introduction anatomy biomechanic arthrosis comparison JDer Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 11. 07/06/2016 1111 • Bibliographie ARTHROSIS introduction anatomy biomechanic arthrosis comparison JDer Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 12. 07/06/2016 1212 • Bibliographie ARTHROSIS introduction anatomy biomechanic arthrosis comparison •Dégénérative / Posttraumatique / Congénital • Plaintes: • dlrs: dorsales, charge transversal, pro-supination • observation: malposition, tuméfaction ulnaire • palpation: dlrs: dorsales DRUJ • motricité: instabilité DRUJ J Der Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 13. 07/06/2016 1313 • Bibliographie ARTHROSIS introduction anatomy biomechanic arthrosis comparison •Rx: prodrome: DRUJ proximal: ostéophytes • CT- axial J Der Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 14. 07/06/2016 1414 • Bibliographie COMPARISON introduction anatomy biomechanic arthrosis comparison •Options thérapeutique: • Darrach • Bowers (hémi-resection) • Watson (hémi-resection) • Sauvé-Kapandji (arthrodèse RU) • Prothèse tête ulnaire J Der Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 15. 07/06/2016 1515 • Bibliographie COMPARISON introduction anatomy biomechanic arthrosis comparison •Options thérapeutique: • Darrach • Bowers (hémi-resection) • Watson (hémi-resection) • Sauvé-Kapandji (arthrodèse RU) • Prothèse tête ulnaire J Der Unfallchirurg V 115 N 7R 10.1007/s00113-012-2178-z Die Behandlung der Arthrose des distalen Radioulnargelenks http://dx.doi.org/10.1007/s00113-012-2178-z
- 16. 07/06/2016 1616 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison 24 specimens 1 control group (6) 2 ulnar-shortening (6) 3 Sauvé-Kapandji (6) 4 Darrach (6) Ulnar impaction syndrome with different operative methods: a comparative biomechanical study.Yu YD, Wu T, Tian FT, Shang YT, Yu XF, Bai YB, Han CL.Int J Clin Exp Med. 2015 Apr 15;8(4):5715-22. eCollection 2015.PMID: 26131156
- 17. 07/06/2016 1717 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison 24 specimens 1 control group (6) 2 ulnar-shortening (6) 3 Sauvé-Kapandji (6) 4 Darrach (6) Ulnar impaction syndrome with different operative methods: a comparative biomechanical study.Yu YD, Wu T, Tian FT, Shang YT, Yu XF, Bai YB, Han CL.Int J Clin Exp Med. 2015 Apr 15;8(4):5715-22. eCollection 2015.PMID: 26131156
- 18. 07/06/2016 1818 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison pressure sensitive film Ulnar impaction syndrome with different operative methods: a comparative biomechanical study.Yu YD, Wu T, Tian FT, Shang YT, Yu XF, Bai YB, Han CL.Int J Clin Exp Med. 2015 Apr 15;8(4):5715-22. eCollection 2015.PMID: 26131156
- 19. 07/06/2016 1919 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison pressure sensitive film Ulnar impaction syndrome with different operative methods: a comparative biomechanical study.Yu YD, Wu T, Tian FT, Shang YT, Yu XF, Bai YB, Han CL.Int J Clin Exp Med. 2015 Apr 15;8(4):5715-22. eCollection 2015.PMID: 26131156
- 20. 07/06/2016 2020 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison
- 21. 07/06/2016 2121 • Bibliographie COMPARISONI introduction anatomy biomechanic arthrosis comparison Conclusions: the ulnar-shortening superior to Sauvé-Kapandji and Darrach procedure Ulnar impaction syndrome with different operative methods: a comparative biomechanical study.Yu YD, Wu T, Tian FT, Shang YT, Yu XF, Bai YB, Han CL.Int J Clin Exp Med. 2015 Apr 15;8(4):5715-22. eCollection 2015.PMID: 26131156
- 22. 07/06/2016 2222 • Bibliographie COMPARISONII introduction anatomy biomechanic arthrosis comparison • retrospective study • Darrach vs Sauve–Kapandji procedure • Twelve patients in the Sauve–Kapandji group Twenty-one of the Darrach group The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture. George MS, Kiefhaber TR, Stern PJ.J Hand Surg Br. 2004 Dec;29(6):608-13. PMID: 15542225
- 23. 07/06/2016 2323 • Bibliographie COMPARISONII introduction anatomy biomechanic arthrosis comparison The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture. George MS, Kiefhaber TR, Stern PJ.J Hand Surg Br. 2004 Dec;29(6):608-13. PMID: 15542225
- 24. 07/06/2016 2424 • Bibliographie COMPARISONII introduction anatomy biomechanic arthrosis comparison The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture. George MS, Kiefhaber TR, Stern PJ.J Hand Surg Br. 2004 Dec;29(6):608-13. PMID: 15542225 Grip strength lower in the Darrach than in the Sauve–Kapandji not a statistically significant difference There were no significant differences in the Modified Mayo Wrist Scores. 78 in the Sauve–Kapandji group 72 in the Darrach group The mean pain scores in the Modified Mayo 20 in the Sauve–Kapandji group 19 in the Darrach group
- 25. 07/06/2016 2525 • Bibliographie COMPARISONII introduction anatomy biomechanic arthrosis comparison The Sauve-Kapandji procedure and the Darrach procedure for distal radio-ulnar joint dysfunction after Colles' fracture. George MS, Kiefhaber TR, Stern PJ.J Hand Surg Br. 2004 Dec;29(6):608-13. PMID: 15542225
- 26. 07/06/2016 2626 • Bibliographie COMPARISONIII introduction anatomy biomechanic arthrosis comparison 32 wrists in the S–K 31 wrists in Darrach examined before and after surgery: clinical evaluations of pain, swelling, range of motion, grip strength, and radiological findings Comparison of the Sauvé-Kapandji procedure and the Darrach procedure for the treatment of rheumatoid wrists. Nakagawa N, Abe S, Kimura H, Imura S, Nishibayashi Y, Yoshiya S.Mod Rheumatol. 2003 Sep;13(3):239-42. doi: 10.3109/s10165-003-0229-6.
- 27. 07/06/2016 2727 • Bibliographie COMPARISONIII introduction anatomy biomechanic arthrosis comparison Comparison of the Sauvé-Kapandji procedure and the Darrach procedure for the treatment of rheumatoid wrists. Nakagawa N, Abe S, Kimura H, Imura S, Nishibayashi Y, Yoshiya S.Mod Rheumatol. 2003 Sep;13(3):239-42. doi: 10.3109/s10165-003-0229-6.
- 28. 07/06/2016 2828 • Bibliographie COMPARISONIII introduction anatomy biomechanic arthrosis comparison Comparison of the Sauvé-Kapandji procedure and the Darrach procedure for the treatment of rheumatoid wrists. Nakagawa N, Abe S, Kimura H, Imura S, Nishibayashi Y, Yoshiya S.Mod Rheumatol. 2003 Sep;13(3):239-42. doi: 10.3109/s10165-003-0229-6.
- 29. 07/06/2016 2929 • Bibliographie COMPARISONIII introduction anatomy biomechanic arthrosis comparison Comparison of the Sauvé-Kapandji procedure and the Darrach procedure for the treatment of rheumatoid wrists. Nakagawa N, Abe S, Kimura H, Imura S, Nishibayashi Y, Yoshiya S.Mod Rheumatol. 2003 Sep;13(3):239-42. doi: 10.3109/s10165-003-0229-6.
- 30. 07/06/2016 3030 • Bibliographie COMPARISON:TAKE HOME introduction anatomy biomechanic arthrosis comparison STUDY I (1-0) Sauvé-Kapandji: better postOP force distribution (not significative) STUDY II (2-1) results show that the Darrach and Sauve– Kapandji procedure yield comparable and unpredictable results STUDY III (3-1) the S–K procedure is superior to the Darrach procedure in reducing ulnar migration,and improving grip
- 31. 07/06/2016 31 Merci Camillo TheoMüller, MD @camillomueller