Castleman, "The Sauve-Kapandji procedure for the treatment of posttraumatic distal radioulnar joint problems," Hand Clinics, vol.
Streich, "Amount of ulnar resection is a predictive factor for ulnar instability problems after the Sauve-Kapandji procedure: a retrospective study of 44 patients followed for 1-13 years," Acta Orthopaedica, vol.
The Sauve-Kapandji procedure is a combination of creating a pseudarthrosis at the level of the metadyaphysis of the distal ulna with an arthrodesis of the DRUJ while preserving the head of the ulna.
(39) DeSmet and colleagues reported 64% of patients with good to excellent results on Mayo wrist score.43 Zimmerman and associates in a review of 115 patients who had undergone the Sauve-Kapandji procedure detailed a mean DASH score of 27.
(39,44) Other complications of the Sauve-Kapandji procedure include ossification of the bone gap, emphasizing the importance of an extra-periosteal resection.There are few studies that have compared the Dar rach procedure, hemiresection arthroplasty, and the Sauve-Kapandji procedure (Fig.
 additionally performed the Sauve-Kapandji procedure in their osteoarticular allograft reconstructions to prevent instability and found no form of joint instability at a medium followup of 8.3 years.
Chen, "Functional outcome of En Bloc excision and osteoarticular allograft replacement with the Sauve-Kapandji procedure for campanacci grade 3 giant-cell tumor of the distal radius," Journal of Hand Surgery, vol.
Synostosis type 1 can be treated with Sauve-Kapandji procedure
if the distal radioulnar joint is affected by degenerative process and the bony bridge is under the pronator quadratus muscle.
The Sauve-Kapandji procedure was described in 1936.
Minami and coworkers (39) reported that the Darrach yielded inferior pain relief, and the Sauve-Kapandji and hemiresection afforded patients better pronation and supination; more patients were able to return to work following the Sauve-Kapandji procedure. In a comparison of the procedures for posttraumatic situations, George and colleagues (38) found the Darrach and Sauve-Kapandji to be equally ineffective in patients less than 50 years of age.
(35.) Vincent KA, Szabo RM, Agee JM: The Sauve-Kapandji procedure for reconstruction of the rheumatoid distal radioulnar joint.
(36.) Taleisnik J: The Sauve-Kapandji procedure. Clin Orthop (275):110-123, 1992.