改良Sauve-Kapandji手术治疗下尺桡关节陈旧性损伤36例

The treatment of 36 cases of distal radioulnar old injury by improved Sauve-Kapandji technique

目的评价改良Sauve-Kapandji手术治疗下尺桡关节陈旧性损伤的临床疗效。方法改良Sauve-Kapandji手术治疗下尺桡关节陈旧性损伤患者36例，术后随访10～38个月，平均16个月，随访检查包括手术前后腕关节疼痛程度、腕关节活动度、握力。结果2例失访，19例疼痛消失。平均腕伸屈度从102。增至125°，增加21°；平均前臂旋转度从105°增至135°，增加30°；握力增加50％，与术前比较差异均有统计学意义（P〈0．01）。术后均恢复或保留腕关节正常外形。结论改良Sauve-Kapandji能够有效治疗下尺桡关节陈旧性损伤引起的疼痛，前臂旋转功能障碍，是治疗该病的理想手术方式。

Objective To evaluate the clinical effect of improved Sauve-Kapandji technique on distal radioulnar old injury. Methods Thirty-six cases of distal radioulnar joint dislocation and arthritiswere treated by improved Sauve-Kapandji technique. Thirty-four cases were followed upfor 10-38 months, with an average of 16 months. Preoperative and postoperative wrist pain degree, wrist range of motion and grippig strength was evaluated. Results Two patients were lost to follow-up. Com- plete relief of pain was obtained in 19 cases （P 〈0.01 ）, the movement flexion extension improved from 102° to 125°（P 〈0.01）,rotation movement of the forearm improved from 105°to 135°（P 〈0.01 ） and grippig strength improved 50% （P 〈 0.01 ）. Conclusions The pain, wrist range of motion and grippig strength can be treated effectively by improved Sauve-Kapandii technique.