What is a sauve Kapandji procedure?

Published by Anaya Cole on

What is a sauve Kapandji procedure?

In 1936, Sauvé and Kapandji described a procedure that included an arthrodesis across the distal radioulnar joint and created a pseudarthrosis of the ulna, proximal to the fusion, to restore pronation and supination.

What is darrach resection?

Darrach’s procedure or distal ulna resection is a surgical technique for the surgical removal of the head of ulna. It is performed in cases of radial–ulnar joint pain and instability. The styloid process and muscular attachments are left intact. Weakness and instability can develop after the procedure.

What is a Hemiresection interposition arthroplasty?

Results: The hemiresection-interposition arthroplasty of the distal radioulnar joint improves the range of forearm rotation. Pain is significantly reduced and grip strength increased. Instability of the distal ulna may persist or result; however, this gives rise to moderate complaints only in some patients.

What is Kapandji technique?

The intrafocal technique of Kapandji is a well – established method of reduction and fixation of the distal radial fractures in the adult population, and the authors of this study have used it during their practice in this institution for many years.

What is ulnar shortening surgery?

Ulnar shortening osteotomy is literally a procedure that shortens the ulna, which is the rationale for its use in ulnocarpal impaction syndrome. 31. Ulnar variance affects the load distribution of the wrist. Larger ulnar variance increases the load on the ulnar carpus.

What is the CPT code for darrach procedure?

The resection of the Ulnar Head (complete in this case) is the Darrach Procedure, 25240.

When can I remove DRUJ K wire?

K wires were removed after 1 month and reduction throughout the range of wrist rotation was assessed fluoroscopically. DRUJ was found to be stable bilaterally. Wrist mobilization in sagittal plane was begun at 1 month. Coronal plane movements were initiated after 6 weeks.

What is a CRPP?

Closed reduction percutaneous pinning (CRPP) is a “closed” or non-surgical approach that requires only a small incision and the use of fluoroscopic guidance for the doctor to move the bone into place and position it with a pin.

Is ulnar shortening worth it?

Conclusions. The clinical outcomes are satisfactory for even more than 5 years after ulnar shortening osteotomy for treating idiopathic ulnar impaction syndrome despite the osteoarthritic changes of the DRUJ. The patients who need a larger degree of ulnar shortening may develop DRUJ arthritis.

What is DRUJ arthritis?

Distal radioulnar joint (DRUJ) arthritis is an inflammatory condition characterized by gradual wearing away of the cartilaginous surface of the radioulnar joint resulting in significant pain, swelling, stiffness, and interference in the functioning of the wrist and/or arm.

How is K wire fixation done?

K-wires are stiff straight wires (commonly called pins) inserted during an operation to help hold a fractured bone in the correct position for healing. Your child will have a dressing to cover the K-wires, and a backslab or splint in place for three to four weeks.

What is CRPP hand surgery?

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