Wrist Synovectomy in Rheumatoid Arthritis using the Sauve-Kapandji Procedure.

概要

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The Sauvé-Kapandji procedure was used in wrist synovectomy in 20 patients (25 hands) with rheumatoid arthritis. Subjects comprised 15 women and 5 men, with age at the time of surgery ranging from 21 to 74 years (average 46.7 years). They were evaluated from 1 to 12 years (average 3.4 years) after the operation. One case suffered from ossification at the pseudarthrosis site and three exhibited click at the distal end of the ulna. The hand grip strength was higher at the final evaluation than preoperative value. Post operative range of wrist dorsi flexion was reduced compared with the preoperative score. However, supination values were significantly improved after the operation. Radial rotation, ulnar drift, ulnar shift, and carpal height ratio were measured roentgenologically showing no significant change within the follow-up period. We concluded that the Sauvé-Kapandji operation is a valuable procedure for wrist synovectomy in patients with rheumatoid arthritis.
西日本整形・災害外科学会の論文