Abstract

Surgical Principles The distal radio-ulnar joint is fused in neutral position. A bony segment of the distal ulna is resected to allow “en bloc” pronation and supination of the hand in the nearthrosis created by the ulna resection (Figure 1). Axis deviations of the radius can be neglected in this procedure. Screw arthrodesis of the distal radio-ulnar joint combined with segmental resection of the distal ulna was described by Sauve and M. Kapandji in 1936 [5]. In 1986, A. Kapandji improved the procedure by using a second screw and a cancellous bone graft.

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