PubMed Health⌕ Search

Biomedical subjects

F C Hui

Publications and source records attributed to F C Hui.

8 recordsLinked to original sources

Ulnotriquetral augmentation tenodesis: a reconstructive procedure for dorsal subluxation of the distal radioulnar joint.

Isolated posttraumatic dorsal subluxation of the distal ulna was surgically treated in eight patients by reduction of the subluxation and by a tenodesing procedure that used a tendon slip of flexor carpi ulnaris. The repair also imbricated the dorsal radioulnar ligament upon itself, and the forearm was secured in supination by a Kirschner wire. All patients had improved stability of the distal radioulnar joint: five had complete and three had satisfactory relief of pain. Slight residual joint laxity was noted in three patients and mild residual limitation of pronation in all, although the patients did not consider the limitations to be functionally important. All patients returned to improved functional activity.

Adult↗

Hinged total knee arthroplasty.

Analysis of an on-going prospective study of seventy-seven hinged total knee arthroplasties in sixty-seven patients revealed that most patients had improvement in function, although major complications occurred in eighteen knees (23.4 per cent. These complications included sepsis, loosening, patellar tendon rupture, peroneal palsy, and patellar subluxation. Eight of nine knees with deep sepsis required removal of the prosthesis, and three of sixteen knees with patellar pain required realignment of the quadriceps. When prosthetic failure occurred, salvage of a functional extremity was difficult. Hinged total arthroplasty is not without its problems, and a cautious approach to its use is indicated. Whenever possible, a moderately constrained replacement arthroplasty should be considered.

Adult↗

Biomechanical study of the elbow following excision of the radial head.

The extent of proximal migration of the radius in thirteen patients who had had the radial head excised for fracture was 1.9 millimeters. After an average of twenty years there was minimum loss of motion of the elbow and forearm but strength was moderately decreased. The patients often had degenerative arthritis at the elbow that generally was not severe but correlated with the amount of pain. It correlated poorly with the severity of arthritis, loss of strength, motion, or pain. Over-all, the patients did well following resection of the radial head and there was no deterioration of results with time. An instrumented method for functional evaluation provided an objective and sensitive quantitative means to assess the need for and effectiveness of reconstructive procedure.

Adult↗