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Report of the Historian

Report of the Historian. Andreas Gohritz. FESSH Council Meeting June 18, 2014, Paris. History of Peripheral Nerve Surgery in Europe Instructional Course FESSH 2013. Chapter with Lee Dellon Chairman: L. Dahlin, Sweden.

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Report of the Historian

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  1. Report oftheHistorian Andreas Gohritz FESSH Council Meeting June 18, 2014, Paris

  2. History of Peripheral Nerve Surgery in EuropeInstructional CourseFESSH 2013 • Chapter with Lee Dellon • Chairman: L. Dahlin, Sweden

  3. Adolf Stoffel (1880-1937) – Pioneer of Peripheral Nerve Fascicular Anatomy, Selective Neurotomy and Nerve Transfers Andreas Gohritz, Lee Dellon* EURAPS, FESSH, DAM 2013 – best paper award

  4. Radial-to-Axillary Fascicular Nerve Transfer (before 1910)

  5. 6th International CourseTetraplegiaSurgery 2014 Nottwil, April 24-26, 201450 participants, 18 countries 2 “Foerster fellowships” for colleagues from Wroclaw, Poland, St. Hedwig Hospital

  6. Andreas Vesalius (1514-1564) «De Humanis Corporis Fabrica, Libri septem» 1543

  7. Historical Evolution andPioneersandProtagonistsofTetraplegia Hand Surgery Andreas Gohritz

  8. Bunnell‘s first C6-7 patientwith intact wrist dorsiflexion

  9. Yves Allieu, France • 1986 • Report of 52 reconstructions • 28 deltoid to triceps transfers • 7 complicated by stretching • Founder of “French School“ • Revol / Paris, Teissier, Coulet / Montpellier …) • Injured Metamere (Lower Motoneuron Injury) • Functional Classification – High/Mid/Low-Level

  10. From First Description of Joint Innervation 1857 until Modern Surgical Joint Denervation 2 overview articles for surgical colleagues - Plast Chir (German Plastic Surgery Society Journal), 2013 - Chir Allgemeine (Surgical General Journal), 2012

  11. Foot & Ankle Clinics, September 2013

  12. Book on minimal-invasive therapy in fibromatoses (co-author)

  13. 1907 Langemark Germany 1918 Quenu 1926 Gold 1958 Grenda Poland 1965 Bassot France 1971 Hueston Australia 2000 Badalamente USA History of enzymatic fasciotomy in Dupuytren‘s contracture Hyaluronidase + Trypsin Thiosinamin Hyaluronidase + Trypsin & Lidocain Fibrinolysin Pepsin Collagenase AUX1/2 Hyaluronidase Article project (ongoing)

  14. Baron GuillaumeDupuytren (*1777 +1835) –historical chapter for FESSH book 2015(due in August 2014) Andreas Gohritz Massimo Ceruso Matthias Rab, Austria

  15. Plastic Surgery in German-speaking Countries between1900 and 1930 Andreas Gohritz Austrian Plastic Surgery Society, Velden Septmber 2013 (Invitation by ÖGPÄRC, M. Rab)

  16. Carl Nicoladoni(*1847 +1902), AustriaInventor of tendon transfer and toe-to-hand transfer Table cards for dinner with short bio and most important work of surgeon

  17. New Techniques in Hand Surgery – Revisited Andreas Gohritz Belgian Hand Surgery Group March 2014, Eupen

  18. 11. Persistence, PhantasyandFriendshipE. g. Albin Lambotte (1866-1935) Genius of osteosynthesis from Antwerp “The greatest crime of man is inactivity.“ (on the evening before his death)

  19. 12. GenerosityandHospitalityE. g. Robert Danis (1888-1960) Pioneer of “primary“ bony healing by fracture compression Danis‘ book “Théorie et Pratique de l‘Osteosyn- thesis“ (1949) and intern- ship with him inspired Maurice Müller to found the AO group (1958)

  20. WereourAncestorsalwaysright ?Dogma: Epinephrinmayleadto Finger Necrosis! Sterling Bunnell , Father of Hand Surgery • Surgeryofthe Hand (1944) • report on finger necrosis • 21 anecdotalcasesreported 1889 -1996, • mostly multiple factorsinvolved

  21. 11. commandment !!!Thoushalt NEVER EVER INJECT EPINEPHRIN into a finger !

  22. Denkler K et al. A comprehensive review of epinephrine in the finger: To do or not to do. PRS2001;108:114–124. Nodwell T et al. How long does it take phentolamine to reverse adrenaline-induced vasoconstriction in the finger and hand? A prospective randomized blinded study: The Dalhousie Project experimental phase. Can J Plast Surg. 2003;11: 187–190. Lalonde DH et al. A multicenter prospective study of 3110 consecutive cases of elective epinephrine use in the fingers and hand: The Dalhousie Project clinical phase. J Hand Surg 2005;30A:1061–1067. Thomson CJ, Lalonde DH, Denkler KA, Feicht AJ. A critical look at the evidence for and against elective epinephrine use in the finger. Plast Reconstr Surg. 2007;119:260–266.  22 articles until 2014 Wide awake Hand Surgery

  23. Zuelzer G (1915): Irritation of the Pudendal Nerve – a frequent bladder-catarrh imitating disease during war • Rare in peace • Typical (sitting in) • “trench disease“ ? • Rhomboid hyperalgia • overlying pudendal nerve • Author = Pioneer of • Diabetes research (1906)

  24. Historical Evolution of Nerve Transfers andUp-date on Use in Tetraplegia NORTH, Reykjavik, June 2014

  25. HistoryofPeripheralNerve Surgery - October 2014

  26. Thank you for your kind attention !

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