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Human Anatomy Is Amazing

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Video

[kellyhound]

don't you just hate it when one single piece is missing in a jigsaw puzzle?

[winvens]

Excellent reattachment job. Any information on how the hand was chopped up in the first place?

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NSC, First Nerve Transplant Surgery in Thailand

NSC, first nerve transplant surgery in Thailand Patients with paralysis, hands, arms, back again!
Lecturer of the Department of Orthopedics Faculty of Medicine Chiang Mai University Conducted research on peripheral nerve transplantation in patients with paralysis From spinal cord injury at neck level Until success Published in the Journal of Hand Surgery American, a world-class journal Which has been considered by the editorial team as a prominent subject (Editor's Choice)

Associate Professor Dr. Kanit Sananphanit, Lecturer, Department of Orthopedics Revealed that he had researched the first step of the research project from the study of the principal The anatomy of moving the nerves to select the pairing between the nerve branches to feed the brachialis or nerves. Raise the wrist, tilt the wrist up to the radial nerve to the nerve. Anterior interactions or anterior interosseous nerve.

Until developing into research Peripheral nerve transfer surgery research project in patients with paralysis From spinal cord injury at neck level By the hand surgeon team Department of Orthopedics Received cooperation from medical instructors of the Department of Rehabilitation Medicine In conducting peripheral nerve transfer surgery in patients with paralysis From spinal cord injury at neck level.

By conducting research in 3 patients for a period of 4 years by a group of patients considering this surgery Must be patient, waiting for recovery of the nervous system Which most often occurs during the first 6 months after the accident Then the recovery will occur very little. And there is usually no more recovery after 2 years of injury. However, some patients with no recovery of the nervous system at all It was found that this group of patients wanted to get their hands back first. Which even the legs or other work Is not as important as the work of the hand Therefore having surgery to revive the work of the hand Which will assess whether this group of patients Shoulders move well Elbows are able to move, but not able to bend the elbow. And the hand doesn't move at all Will be considered for surgery.

Associate Professor Dr. Thong Thongprasert, Head of Department of Rehabilitation Medicine Faculty of Medicine Chiang Mai University Researcher Revealed that this group of spinal cord injury patients Will experience 3 problems together: Order the operation of the spinal cord, muscle, sensation And autonomic nerves

This group of patients will have problems with the work of the arm and hand muscles. Making it difficult for everyday life Is a poor patient and one of the most difficult to treat Because of paralysis of both arms and legs In addition, they cannot control their own urine. Need to urinate by others No skin feeling With less temperature and blood flow during the body and legs Therefore causing pressure ulcers More easily than normal people Making this group of patients unable to help themselves And always need someone to take care of These patients often experience depression because they cannot be self-reliant.

Assistant Professor Dr. Jirachat Kraisarin, professor of the Department of Orthopedics revealed that in the past Treatment of this group of patients Relying on surgery to move multiple tendons Together with the connection joints Which usually has a large surgical wound And must wear a splint after surgery Making surgery unpopular

Due to complicated postoperative care And have to perform multiple procedures This research is to find a new treatment method by using microsurgical surgery. Causing surgery to move the peripheral nerves To replace the tendon surgery

By conducting nerve transplant surgery, correcting the work of both arms and hands on each side by 4 positions, totaling 8 positions in one surgery Which began research in 2014 and used to treat real surgery in 2015. It is considered the first surgery in the world to do 4 positions (this type of surgery is performed by 3 positions in each side America, Brazil and Australia have never been in Asia).

The advantage is not having to cut several times at a time. After 10 months of surgery, some hands can be moved. But not very clear to use immediately Use will improve Until a year and a half Can write books, knit yarn, catch a glass spoon by yourself without having someone help Can change the way of life from the old who have to rely on others all the time To return to help themselves more

It can be considered that the research results are very satisfactory. Was published in the Journal of Hand Surgery American and was considered by the editorial team To be an Editor's Choice, hoping that this knowledge will be able to help patients in Thailand more And articles published Can be used to help paralyzed patients From spinal cord injury at neck level around the world.








Source https://www.khaosod.co.th/around-thailand/news_2380525

[woodsetton]

That is incredible. What an amazing outcome.

[aivlysplath]

Like gluing together a broken vase.