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Stabilization of the Proximal Ulnar Stump in the Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon: Long-Term Follow-Up Studies
Title: | Stabilization of the Proximal Ulnar Stump in the Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon: Long-Term Follow-Up Studies |
Authors: | Minami, Akio Browse this author →KAKEN DB | Iwasaki, Norimasa Browse this author | Ishikawa, Jun-ichi Browse this author | Suenaga, Naoki Browse this author | Kato, Hiroyuki Browse this author |
Keywords: | extensor carpi ulnaris tendon | stabilization | proximal ulnar stump | Sauvé-Kapandji procedure |
Issue Date: | Mar-2006 |
Publisher: | Elsevier |
Journal Title: | The Journal of Hand Surgery |
Volume: | 31 |
Issue: | 3 |
Start Page: | 440 |
End Page: | 444 |
Publisher DOI: | 10.1016/j.jhsa.2005.11.012 |
PMID: | 16516739 |
Abstract: | Purpose: The Sauvé-Kapandji (S-K) procedure is considered a useful treatment option for distal radioulnar disorders. However, postoperative instability of the proximal ulnar stump and radioulnar convergence may be symptomatic. We modified the Sauvé-Kapandji procedure by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon. We previously reported 13 patients with this procedure at an average follow-up of 35 months; the patients had satisfactory clinical results and improved stability of the proximal ulnar stump as shown by x-ray examination. In this paper, we address the question of whether those clinical and radiographic results noted at an average follow-up of 35 months postoperativery are maintained at later follow-up examinations.
Methods: We reexamined 12 of the 13 original patients and compared their intial follow-up results with their current results after an average follow-up of 95 months. Results: The results of this series after 95 months were similar to those at 35-months. These overall results suggest that the clinical and radiographic results at 35-month follow-up were maintained at the final follow-up visit.
Conclusions: Our results in this paper suggested that the clinical radiographic results at the 35-month follow-up were maintained in the long-term 95-month follow-up despite the finding that the hole in the proximal ulnar stump had broken in three wrists at follow-up. |
Relation: | http://www.sciencedirect.com/science/journal/03635023 |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/8458 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 三浪 明男
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