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Research Paper | Orthopaedic Surgery | India | Volume 12 Issue 5, May 2023 | Rating: 5 / 10
A Comparative Study of Adams-Berger and Sauve-Kapandji Procedure in Chronic Distal Radio-Ulnar Joint Instability
Dr. Gourab Chatterjee | Dr. Sirshendu Kheto | Dr. Soumyadeep Dutta Roy | Dr. Sudipta Samanta
Abstract: Introduction: Distal radio-ulnar joint instability results from a variety of factors including trauma to the joint. In most of the cases patients presented with ulnar sided wrist pain and instability as well as reduced grip strength. In literature many of the procedures has been demonstrated to address the disorders of distal radio-ulnar joint. Our study aims to compare the outcomes of Sauve-kapandji procedure with Adams-berger procedure in cases of distal radio-ulnar joint instability. Materials and methods: Our study is a prospective study done in the outpatient department of our institution. We included patients with chronic distal radio-ulnar joint disorder and excluded other causes of global or ulnar wrist pain. Then we studied the subjects in terms of clinical, radiological and functional parameters. Results: Ulnar sided wrist pain (75%) was the most prevalent clinical symptom among the patients. Press test (75%) was the most prevalent positive clinical test followed by ulnar impaction test (68.75%) among the patients.31% patients had Triangular fibrocartilagenous Complex injury comprising of 2 dorsal radioulnar ligament injury, 2 palmer type 1A injury with central perforation and the 1 volar radio-ulnar ligament injury. Mean ulnar variance in sauve-kapandji procedure group was 2.8 ? 0.5 mm and in the Adams-berger group was 2.6 ? 0.89mm. Improvement of grip strength occurred in both the groups but it was not significant. In either group, 3 out of 8 (37.5%) patients ended up having no movement restriction at final followup. Conclusion: We conclude that Adams-berger procedure is superior to Sauve-Kapandji procedure.
Keywords: Adams-berger procedure, Distal Radio-ulnar joint, Sauve-kapandji procedure, Wrist Pain
Edition: Volume 12 Issue 5, May 2023,
Pages: 1568 - 1576