Darrach and Sauve-Kapandji Procedures
This procedure is for patients with chronic DRUJ (distal radioulna joint) instability or DRUJ arthritis.
A Darrach procedure is reserved for patients with chronic DRUJ (distal radioulna joint) instability or DRUJ arthritis. This surgical procedure involves resection of the ulnar head which eliminates the rubbing of the distal portion of the ulna on the sigmoid notch of the radius which can be a source of pain in these patients.
Sauve -Kapandji procedure involves fusion of the ulnar head to the radius and resection of a portion of the distal ulnar shaft. This allows the structures of the TFCC to remain intact while eliminating pain at the DRUJ. Resecting a portion of the distal ulnar shaft preserves the ability of the arm to supinate and pronate (turning your palm up and down).
The orthopedic surgeons here are also specially trained in the field of hand and wrist surgery and treat all conditions, from very straightforward to the most complex. Furthermore, we believe that even the simplest problems of the hand and wrist deserve evaluation from a hand specialist who has an expertise in understanding of the intricate anatomy of the hand.
Every Patient Matters
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.