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The reverse Sauvé-Kapandji procedure for the treatment of (posttraumatic) proximal radioulnar synostosis

  • Technical Note • ELBOW - BIOMECHANICS
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Abstract

Proximal radioulnar synostosis is a rare but highly disabling posttraumatic complication in periarticular elbow injuries. Surgical treatment is an option for functionally limiting proximal radioulnar synostosis; however, the approach can endanger local neurovascular structures, especially if the synostosis affects the level of the bicipital tuberosity. We report two cases of proximal radioulnar synostosis with a preoperative prono-supination range of motion of 0° and 15° treated by a reverse Sauvé-Kapandji procedure resecting a 1-cm section of the radial shaft distal to the bicipital tuberosity and leaving the synostosis in place. An improvement in prono-supination arc of motion of 82.5° was achieved at 2 years of follow-up with no complications associated with the technique. The reverse Sauvé-Kapandji procedure could be an option in the treatment of proximal radioulnar synostosis in selected cases.

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The authors declare that they received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Hand and Upper Extremity Surgery Unit, Hospital Universitario HM Montepríncipe, Avenida Montepríncipe, 25, 28660, Boadilla del Monte, Madrid, Spain

    Isidro Jiménez & Pedro J. Delgado

Authors
  1. Isidro Jiménez
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  2. Pedro J. Delgado
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Correspondence to Isidro Jiménez.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional review board) and with the Helsinki Declaration of 1975, as revised in 2008.

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Informed consent was obtained from all patients for being included in the study.

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Jiménez, I., Delgado, P.J. The reverse Sauvé-Kapandji procedure for the treatment of (posttraumatic) proximal radioulnar synostosis. Eur J Orthop Surg Traumatol 28, 1225–1229 (2018). https://doi.org/10.1007/s00590-018-2168-0

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  • DOI: https://doi.org/10.1007/s00590-018-2168-0

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