Amount of ulnar resection is a predictive factor for ulnar instability problems after the Sauvé-Kapandji procedure: A retrospective study of 44 patients followed for 1–13 years
| Autor: | Wolfgang Daecke, Nikolaus A. Streich, Sven Schneider, Abdul-Kader Martini |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Joint Instability Male Wrist Joint musculoskeletal diseases medicine.medical_specialty Adolescent Ulna Wrist Instability Postoperative Complications Patient satisfaction Risk Factors Dash medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Range of Motion Articular Risk factor Aged Retrospective Studies business.industry Retrospective cohort study General Medicine Middle Aged Prognosis Wrist Injuries Surgery body regions Treatment Outcome medicine.anatomical_structure Orthopedic surgery Female business Follow-Up Studies |
| Zdroj: | Acta Orthopaedica. 77:290-297 |
| ISSN: | 1745-3682 1745-3674 |
| DOI: | 10.1080/17453670610046055 |
| Popis: | Background The Sauve-Kapandji procedure can result in instability of the proximal ulnar stumpPatients and methodsWe reviewed 44 patients (mean follow-up time 6 (0.6–13) years) to investigate predictive factors for ulnar instability after Sauve-Kapandji operation. We used several scores including an instability score specifically designed for this studyResults Patients with a longer proximal ulnar stump had significantly lower instability scores, significantly better Mayo Modified wrist scores and DASH scores, and also less pain than those with shorter proximal ulnaInterpretation If the shortening of the proximal stump is less than 35 mm, a reliable improvement in motion and a high patient satisfaction can be expected. The risk of a painful ulnar instability is related to the amount of resection, and can be reduced by creating a long upper ulnar stump. |
| Databáze: | OpenAIRE |
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