Results of sauve-kapandji procedure in treatment of posttraumatic derangement of the distal radioulnar joint

The Sauve-Kapandji procedure has been advocated as a method of treating derangement of the distal radioulnar joint [DRUJ]; especially post-traumatic problems. This work included 13 patients with post-traumatic DRUJ disorders who were treated with Sauve-Kapandji procedure. Eleven patients were available for review after an average follow up period of 31.7 months. The average age at the time of operation was 33.6 years. A Mayo wrist score was used for pre- and post-operative clinical assessment; especially pain, rotation of forearm, and complications. At the end of follow up, the functional results were excellent in six cases, good in three, fair in one and poor in one. All cases except one returned forearm rotation to within 8 degrees of the un-injured side. Nine patients had no pain; while two had moderate or severe pain on heavy work. One patient had instability of the ulnar stump. Sauve-Kapandji procedure is a good operation in posttraumatic derangement of the DRUJ and a reliable technique for restoration of range of motion and amelioration of pain with few complications

Total hip replacement in dysplastic hips using femoral head shelf autografts

A consecutive series of 15 dysplastic hips was treated with total hip replacement using femoral head autograft shelf reconstruction. Cemented cups were used in nine hips, while uncemented cups were used in six cases. The average follow-up was 19 months. In the cemented group, the average preoperative Harris hip score was 44.8 [range 22-82], while in the uncemented group, it was 45 [range 23-61]. At the final review, the average clinical score was 71.5 [range 46-98] in the cemented group, while in the uncemented group, it was 87.5 [range 63-100]. Of the 15 cases, there was only one failure case, giving a success rate of 93%. In terms of the autograft, all united to host bone. Resorption was minor and restricted to the lateral non-weight bearing part of the graft. The present study supported the use of shelf autografts to reconstruct the dysplastic hips at the time of THR. In this series, both cemented and uncemented cups performed equally well