Rinsho Seikei Geka Volume 38, Issue 6 (June 2003)

A New Shelf Operation of the Wrist Joint in Patients with Rheumatoid Arthritis:More than Three-Year-Follow Up Satoru Fujita 1 , Kazuhiro Masada 2 , Eiji Takeuchi 2 , Masataka Yasuda 2 , Hideo Hashimoto 3 1Department of Orthopaedic Surgery,Syowakai Takarazuka Dai-ichi Hospital 2Department of Orthopaedic Surgery,Osaka Rosai Hospital 3Department of Orthopaedic Surgery,Osaka University Keyword: shelf operation(棚形成術) , Sauvé-Kapandji(ソーベ・カパンジー) , rheumatoid arthritis(関節リウマチ) pp.783-790
Published Date 2003/6/1
DOI https://doi.org/10.11477/mf.1408100731
  • Abstract
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Modified Sauvé-Kapandji procedure was performed for rheumatoid patients. This procedure involved excising the distal ulna and rotating it 90°and then inserting and stabilizing it in a drilled hole at the sigmoid notch of the radius. Forty wrists in 33 patients were treated with this procedure. There were 9males and 24 females. The age at the time of surgery ranged form 41 to 76 years(mean,59.5 year),and the postoperative follow-up period ranged from 36 to 65months(mean,46.0months). The patients were clinically evaluated for wrist pain and range of motion. X-ray evaluation was performed by the carpal height ratio(CHR)used as an index of the destruction of carpal bones,carpal translation index(CTI)used as an index of the ulnar translation of carpal bones,and the palmar carpal subluxation ratio(PCSR)used as an index of the volar dislocation of carpal bones. Wrist pain reduced in all patiets. Mean foream circumflexion increased from 144°before surgery to 167°after surgery(p<0.01). Regarding X-ray evaluation,mean CHR decreased from 0.45 before surgery to 0.42 at the final examination(p<0.01). CTI and PCSR slightly increased after surgery,but the changes of CTI and PCSR were not statistical signficant. The destruction of carpal bones progressd slowly after surgery,but the carpal bones were stable in the ulnar or volar direction. Good clinical resuls were obtained in all cases by Modified Sauvé-Kapandji procedure.

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38巻6号 (2003年6月)
電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院