Darrach and Sauve-Kapandji Procedures

This procedure is for patients with chronic DRUJ (distal radioulna joint) instability or DRUJ arthritis.

Darrach Procedure

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.

Sauve-Kapandji Procedure

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).

Sauve-Kapandji Procedure​ Modern Orthopaedics of New Jersey, Wayne, Parsippany, Dr. Peter DeNoble MD and Dr. David Ratliff MD. Orthopedic Surgeons, Hand Surgeon
DRUJ Instability/Arthritis, Ulnocarpal Impaction, DIP Pinning for Mallet Finger


Our world-class orthopedic surgeons have years of experience treating wrist conditions. We believe that even the simplest problems should be evaluated by a specialist.

Personalized care

As our patient, you will have an in-depth consultation with one of our doctors. We will create an individualized treatment plan together, tailored to your problem and lifestyle. Our doctors prefer non-invasive treatments whenever possible, including physical therapy and/or injections. If your problem ultimately does require surgery, our doctors prefer the least invasive surgical techniques possible. Our goals are the same as yours: to get you back to living your best life, pain free. 

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Please contact us using the below form or call (973) 898-5999 to request an appointment today.