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Biomedical subjects

D C Ferlic

Publications and source records attributed to D C Ferlic.

48 records · Page 3Linked to original sources
PubMed1975

Complications of silicone implant surgery in the metacarpophalangeal joint.

Of 162 metacarpophalangeal silicone prostheses inserted from 1967 to 1973, fifteen fractured, two were associated with an infection, and there was one case of skin necrosis. A recurrence of ulnar drift occurred in four hands. Three prostheses had to be removed and in one such case additional significant foreign-body reaction was evident. Although the complication rate was over 10 per cent, the failure rate was fairly low.

Arthroplasty↗
PubMedDate not supplied

Salvage of failed total elbow arthroplasty.

We had to revise 14 total elbow arthroplasties, three for infection, six for aseptic loosening, four for instability, and one for a failed bearing mechanism. All of the infected elbows were converted to resection arthroplasty with elimination of infection but with poor function; in one acceptable motion was achieved after a fascial arthroplasty. Those that failed aseptically were salvaged with reimplantation of other devices, either a custom implant or a semiconstrained device, which was also used in those nonconstrained elbows that failed because of dislocation. All of the noninfected elbows were successfully revised with relief of pain and motion comparable to or better than that present before revision.

Elbow Joint↗
PubMedDate not supplied

The wrist in rheumatoid arthritis.

The wrist is the key joint of the upper extremity and is frequently seriously involved in rheumatoid arthritis. Surgery is often indicated to control the effects of the synovitis which often includes rupture of both flexor and extensor tendons. Early synovectomy is indicated. Tenosynovectomy, synovectomy, distal ulnar resection and transposition of the dorsal carpal ligament beneath the extensor tendons, has been effective in preventing rupture of the extensor tendons. The wrist also has an effect on ulnar drift of the fingers. Transfer of the extensor carpi radialis longus to the extensor carpi ulnaris is recommended in patients who do not have the ability to actively ulnar deviate the wrist. Wrist fusion has proven to be effective in patients with marked destruction, deformity or pain, or where there has been a rupture of both radial wrist extensors.

Arthritis, Rheumatoid↗
PubMedDate not supplied

A long-term retrospective study of the modified Bristow procedure.

A retrospective follow-up study is presented on the results in 51 patients who underwent the modified Bristow procedure for recurrent anterior shoulder dislocation or subluxation between 1972 and 1982. The average follow-up period was 95 months. Postoperatively, 6% of the patients had recurrent anterior dislocation and 4% had recurrent anterior subluxations. Another 4% of the patients developed posterior subluxation after surgery. Seventy-six percent of the patients felt that there was no postoperative limitation in their activities. Eighteen percent felt limited in throwing sports and 4% felt limited in swinging sports. Fourteen percent of the patients had screw complications that involved screws causing pain (6%), fractured screws (4%), bent screws (2%), and loose screws (2%). Additional surgical procedures were required in 14% of patients: screw removal (8%), hematoma drainage (2%), and reoperation using the modified Bristow procedure (4%). Ninety-two percent of the patients assessed their surgical results as excellent or good.

Adult↗
PubMedDate not supplied

Arthrodesis of the arthritic wrist.

Although arthroplasty has developed tremendously in the last few years, there are still indications for arthrodesis of the wrist, particularly in nonrheumatoid patients where fairly heavy loads are imposed on the joint. Fusion is also a salvage procedure for failures of other procedures. The authors recommend fusion in a neutral position for unilateral or bilateral cases. Neutral is defined as 0 degree on the lateral with about 10 degrees ulnar deviation. This gives an arc of motion from pronation and supination, which substitutes for palmar flexion and dorsiflexion. The important factors in securing arthrodesis are: internal fixation with intramedullary pins, bony contact, bone graft if necessary, compression, and obtaining or maintaining rotation of the forearm. In selected cases arthrodesis of the wrist produces a very good result.

Arthritis↗