FUNCTIONAL OUTCOME OF MALUNITED DISTAL RADIUS FRACTURE TREATED BY SAUVE KAPANDJI PROCEDURE: A CASE REPORT
Dr.SARIMADUGU SURESH (POST GRADUATE)
Dr.BIJU R (PROFESSOR & HOD)
DEPARTMENT OF ORTHOPAEDICS ,NARAYANA MEDICALCOLLEGE AND HOSPITAL, SPSR NELLORE.
53rd Annual Conference of Orthopedic Surgeons Society of Andhra
Pradesh
INTRODUCTION
INTRODUCTION MATERIALS AND
MATERIALS METHODS
/ METHODS RESULTS
RESULTS&& DISCUSSION
DISCUSSION
Distal radius fractures are common injury in
patient presented with complaints of Pain,
clinical practice, accounting for one sixth of
deformity. Pain ,grip strength and range of At the end of procedure, apply splints extending above the elbow to keep the wrist and
all fractures treated in clinical emergency.
motion of the wrist were examined forearm in neutral rotation.
Distal radio-ulnar joint disorders is a
clinically. For the evaluation of the stability
common consequence of distal radius
of the carpus, ulnar stump and bone union, The patient can be seen for bandage and suture removal 10–14 days later.
fracture.
parameters were measured using At that time, depending on the quality of the tissues noted at surgery, confidence in the
Injuries to DRUJ with a distal radius fracture
radiographs. Shortened disabilities of the fixation strength achieved, and patient reliability, one can then opt for either additional casting
can result in pain in wrist. decreased
arm, shoulder and hand questionnaire in a below-elbow cast for 3 weeks or a removable wrist brace.
forearm rotation, instability of the ulna and
(Quick DASH) was used for functional
loss of function Various surgical techniques
evaluation. At 6months of follow up patient had no pain, Range of motion:
to treat instability of the DRUJ includes
PRE &POST OPERATIVE X- RAYS:
distal ulna resection, partial resection with
Pronation: improved from a pre operative mean of 10° to post operative mean of 84°
interposition arthroplasty & sauve-kapandji
Supination: progressed from a pre operative mean of 75° to post operative mean of 86°
procedure.
CASE REPORT
A 25 years old male patient diagnosed with
Rt malunited
AIMS distal radius fracture. Patient
/ OBJECTIVES
had history of trauma 14 months back PRE &POST OPERATIVE CLINICAL IMAGES:
CONCLUSION
CONCLUSION
initially treated conservatively 12 months
back, patient underwent ligamentotaxis,
post operatively immobilization done for 8 We conclude that there is marked pain reduction and improvement in forearm rotation
weeks, After 6 months presented with pain in modified sauve-kapandji procedure.
& restricted movements of wrist Patient So, it is reliable surgical option in malunited distal radius fracture and when previous
underwent modified sauve-kapandji treatments fails
procedure. Post operatively, immobilized
with casting for 8 weeks, follow up done
with clinical & radiological examination