We compared the clinical and radiological results of the modified Sauvé–Kapandji procedure for 41 of 86 operated rheumatoid wrists with (n = 22) and without (n = 19) stabilization of the proximal ulnar stump with a slip of half the extensor carpi ulnaris tendon. Gender, age, and follow-up period were similar in the two groups. We found no difference clinically or on radiographs between the two groups other than better early postoperative pain relief in those stabilized. Stabilization of the proximal ulnar stump may not be necessary in the modified Sauvé–Kapandji procedure for rheumatoid wrists.
ArnettFCEdworthySMBlochDA. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988, 31: 315–24.
BreenTFJupiterJB. Extensor carpi ulnaris and flexor carpi ulnaris tenodesis of the unstable distal ulna. J Hand Surg Am. 1989, 14: 612–17.
4.
DaeckeWMartiniAKSchneiderSStreichNA. Amount of ulnar resection is a predictive factor for ulnar instability problems after the Sauvé–Kapandji procedure: a retrospective study of 44 patients followed for 1–13 years. Acta Orthop. 2006, 77: 290–7.
5.
DarrachW. Partial excision of lower shaft of ulna for deformity following Colles’s fracture. Ann Surg. 1913, 57: 764–5.
6.
ErikssonE. Physiology of wound repair. In: ManskePR (Ed.) Hand surgery update. Rosemont, American Society for Surgery of the Hand, 1996: 263–70.
7.
FujitaSMasadaKTakeuchiEYasudaMKomatsubaraYHashimotoH. Modified Sauvé–Kapandji procedure for disorders of the distal radioulnar joint in patients with rheumatoid arthritis. J Bone Joint Surg Am. 2005, 87: 134–9.
8.
Garcia-EliasM. Carpal instabilities and dislocations. In: GreenDP (Ed.) Operative hand surgery. New York, Churchill Livingstone, 1998, Vol. 1: 875–875.
9.
GoldnerLJHayesMG. Stabilization of the remaining ulna using one half of the extensor carpi ulnaris tendon after resection of the distal ulna. Orthop Trans. 1979, 3: 330–1.
10.
InagakiHNakamuraRHoriiENakaoETatebeM. Symptoms and radiographic findings in the proximal and distal ulnar stumps after the Sauvé–Kapandji procedure for treatment of chronic derangement of the distal radioulnar joint. J Hand Surg Am. 2006, 31: 780–4.
11.
KapandjiIA. The Kapandji–Sauvé operation. Its techniques and indications in non rheumatoid diseases. Ann Chir Main. 1986, 5: 181–93.
12.
LameyDMFernandezDL. Results of the modified Sauvé–Kapandji procedure in the treatment of chronic posttraumatic derangement of the distal radioulnar joint. J Bone Joint Surg Am. 1998, 80: 1758–69.
13.
McKeeMDRichardsRR. Dynamic radio-ulnar convergence after the Darrach procedure. J Bone Joint Surg Br. 1996, 78: 413–18.
14.
MillroyPColemanSIversR. The Sauvé–Kapandji operation. Technique and results. J Hand Surg Br. 1992, 17: 411–14.
15.
MinamiAIwasakiNIshikawaJSuenagaNKatoH. Stabilization of the proximal ulnar stump in the Sauvé–Kapandji procedure by using the extensor carpi ulnaris tendon: long-term follow-up studies. J Hand Surg Am. 2006, 31: 440–4.
16.
MinamiAKatoHIwasakiN. Modification of the Sauvé–Kapandji procedure with extensor carpi ulnaris tenodesis. J Hand Surg Am. 2000, 25: 1080–4.
17.
NakamuraRTsunodaKWatanabeKHoriiEMiuraT. The Sauvé–Kapandji procedure for chronic dislocation of the distal radio-ulnar joint with destruction of the articular surface. J Hand Surg Br. 1992, 17: 127–32.
18.
NewmeyerWLGreenDP. Rupture of digital extensor tendons following distal ulnar resection. J Bone Joint Surg Am. 1982, 64: 178–82.
19.
PringDJWilliamsDJ. Closed rupture of extensor digitorum communis tendon following excision of distal ulna. J Hand Surg Br. 1986, 11: 451–2.
20.
RowlandSA. Stabilization of the ulnar side of the rheumatoid wrist, following radiocarpal Swanson’s implant arthroplasty and resection of the distal ulna. Bull Hosp Jt Dis Orthop Inst. 1984, 44: 442–8.
TsaiTMShimizuHAdkinsP. A modified extensor carpi ulnaris tenodesis with the Darrach procedure. J Hand Surg Am. 1993, 18: 697–702.
23.
TsaiTMStilwellJH. Repair of chronic subluxation of the distal radioulnar joint (ulnar dorsal) using flexor carpi ulnaris tendon. J Hand Surg Br. 1984, 9: 289–94.
24.
WadaTOginoTIshiiS. Closed rupture of a finger extensor following the Sauvé–Kapandji procedure: a case report. J Hand Surg Am. 1997, 22: 705–7.
