Malunion of a complex fracture of the distal radioulnar joint (DRUJ). Artificial Sauvé-Kapandji situation results in pain-free movements of forearm and wrist

被引：0

作者：

Metzger R. ^{[2
]}

Andermahr J.

Rehm K.E. ^{[1
]}

机构：

[1] Department of Reconstructive Surgery, University of Cologne Medical Center, Cologne

[2] Department of Reconstructive Surgery, University of Cologne Medical Center, 50931 Köln

来源：

European Journal of Trauma | 2002年 / 28卷 / 6期

关键词：

Distal radius fracture; Malunion of the distal radioulnar joint (DRUJ); Sauvé-Kapandji;

D O I：

10.1007/s00068-002-1199-7

中图分类号：

学科分类号：

摘要：

Background: Generating an artificial spontaneous Sauvé-Kapandji situation after malunion of the distal radioulnar joint (DRJU) enables a patient to move forearm and wrist without pain. Case Study: A patient with an extensive combined fracture of the distal radius and ulna accompanied by a subluxation of the ulnar head and an avulsion fracture of the base of the ulnar styloid was treated with external fixator. During follow-up, an artificial fracture was observed at a former pin site. This led to nonunion approximately 3 cm proximal to the ulnar head. Comparable to a spontaneously generated Sauvé-Kapandji situation, the development of this nonunion resulted in a pain-free situation allowing free movement of forearm and wrist. The extent of motion was 70°/0°/80° pronation/supination.

引用

页码：370 / 373

页数：3