tag:blogger.com,1999:blog-25383052533610623002024-03-13T10:25:12.668-07:00Reconstructive Hand Surgery In TetraplegiaReconstructive hand surgery and upper extremity surgery, assessment, rehabilitation and outcome in tetraplegia after spinal cord injury by Professor Jan Fridén, MD, PhD and his team.Björn Fridénhttp://www.blogger.com/profile/05830445739529169406noreply@blogger.comBlogger125125tag:blogger.com,1999:blog-2538305253361062300.post-15692019887684822382018-01-08T02:14:00.001-08:002018-01-08T02:14:34.525-08:00Tetrahand World Congress 2018<div dir="ltr" style="text-align: left;" trbidi="on">
<h2>
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It is a great pleasure to announce the <span style="font-weight: normal;"><a href="http://www.tetrahand2018.com/" target="_blank">Tetrahand World Congress 2018</a></span> in Nottwil, Switzerland . This will be the 12th
International Congress on Surgery and Rehabilitation of the Upper
Extremity in Tetraplegia.
<br />
Our congress will be held in conjunction with the annual
IFESS (International Functional Electrical Stimulation Society)
Congress at the Swiss Paraplegic Centre on 28-31 August 2018.(<a href="http://ifess2018.com/" target="_blank">IFESS 2018 Congress website</a>)<br />
We are looking forward to an outstanding scientific
program covering the key topics of Tetrahand surgery and
rehabilitation with focus on patient perceived outcomes,
innovative techniques and workshops for surgeons and therapists.<br />
I offer you a warm welcome to the Tetrahand World Congress 2018 and look forward to seeing you in Nottwil!<br />
<br />Jan Fridén<br />
Congress Chair</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-54062233178950298302015-10-02T01:43:00.000-07:002015-11-01T01:46:48.992-07:00Tetraplegia Hand Surgery Topic at Austrian Trauma Society<div dir="ltr" style="text-align: left;" trbidi="on">
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<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-laWvCmgDrOc/VjXQSGrd7-I/AAAAAAAAA8I/PKcmHyYcEnU/s1600/salzburg%2Baltstadt.png" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="146" src="http://2.bp.blogspot.com/-laWvCmgDrOc/VjXQSGrd7-I/AAAAAAAAA8I/PKcmHyYcEnU/s200/salzburg%2Baltstadt.png" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Cambria;">Old Town Salzburg</span></td></tr>
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<a href="http://4.bp.blogspot.com/-FczrHOUSZwY/VjXQCFk_X3I/AAAAAAAAA8A/jjW0Ny9m58g/s1600/O%25CC%2588GU.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="63" src="http://4.bp.blogspot.com/-FczrHOUSZwY/VjXQCFk_X3I/AAAAAAAAA8A/jjW0Ny9m58g/s200/O%25CC%2588GU.png" width="200" /></a>The Austrain Trauma Society (Österreichische Gesellschaft
für Unfallchirurgie) congress in Salzburg, arranged a symposium on
reconstruction of hand function after damage to central and peripheral nervous
system. Professors Robert Schmidhammer and Jan Fridén overviewed the topics
"Functional Improvement of<span style="mso-spacerun: yes;"> </span>Upper
Extremity Function after Peripheral Nerve Injuries and "Improvement of
Upper Extremity Function in Tetraplegia by Surgery".<span style="mso-spacerun: yes;"> </span>Both presenters not only detailed the
surgical procedures but also emphasized the need for a solid team efforts and
patient-perceived outcome measurements. Discussions dealt with several important
issues in a broader perspective for example<span style="mso-spacerun: yes;">
</span>strategies to establish routines for early assessments and how to
establish solid and sustainable organizations to guarantee continous
development and service.</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-59286479345562482652015-08-25T03:17:00.000-07:002015-09-03T06:02:38.835-07:00Review Article on Upper Extremity Nerve Transfer Published with Australian Research Partners<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Times New Roman"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: DE; mso-fareast-theme-font: minor-fareast;">An
important state-of-the-art paper entitled “<span style="color: #231f20;">Review
of Upper Extremity Nerve Transfer in Cervical Spinal Cord Injury” </span>was
published in the open-access journal “Brachial Plexus and Peripheral Nerve
Injury“. Together with first and last authors Sarah Cain and Natasha van Zyl
from University of Melbourne, Australia, Andreas Gohritz and Jan Fridén
summarized an analysis of<span style="mso-spacerun: yes;"> </span>all nerve
transfer cases published to date in the literature. This review summarizes the
functional results in 59 cases with 89 nerve transfers performed, including 15
cases of double-nerve transfer and 1 case of triple-nerve transfer from 13
studies with extractable data. Overall, 89 nerve transfers have been performed
in 57 males and 2 females with a mean age of 34 years. The mean SCI level was
C6 (range: C5–7), time to surgery post-SCI was 19.9 months (range: 4.1–156
months), and follow-up time was 18.2 months (range: 3–60 months). All case
reports recorded a Medical Research Council (MRC) score of 3 or 4 for recipient
muscle power, but two early case series reported more variable results.</span>
<br />
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<a href="http://3.bp.blogspot.com/-qskXXL5kWDQ/VebMigSpiqI/AAAAAAAAA7A/p-dpnyzr2tE/s1600/Nerve%2BTransfer%2BReview.tiff" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="154" src="http://3.bp.blogspot.com/-qskXXL5kWDQ/VebMigSpiqI/AAAAAAAAA7A/p-dpnyzr2tE/s320/Nerve%2BTransfer%2BReview.tiff" width="320" /></a></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-63394955218088061992015-06-27T02:53:00.000-07:002015-11-01T01:49:21.079-07:00Invited State-of-the-Art Lecture at German-Speaking Spinal Cord Society Meeting<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<a href="http://4.bp.blogspot.com/-Lj2Uh6xkxyc/VebF0IYAdUI/AAAAAAAAA6w/Ut6raG5hggk/s1600/marion-saur.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-Lj2Uh6xkxyc/VebF0IYAdUI/AAAAAAAAA6w/Ut6raG5hggk/s200/marion-saur.jpg" width="112" /></a><span style="font-family: Times,"Times New Roman",serif;">An
invited special lecture on tetraplegia hand surgery was delivered by Jan Fridén
at the 28th congress of the Deutschsprachige Medizinische Gesellschaft für
Paraplegie (DMGP, German-Speaking Medical Society of Paraplegia) on June 24-27,
2015. This annual meeting united physicians and therapists working at spinal
cord centers of Germany, Austria and Switzerland was held in Kassel, Germany,
perfectly organized by Dr. Marion Saur (photo left). Important scientific contributions were made by
the Nottwil team and the special lecture was exceptionally well received by the
audience. Many detailed and inspiring questions and a lively discussion
reflected the growing interest of the rehabilitation medicine community on surgical
rehabilitation of arm and hand function.</span><span style="font-family: Times,"Times New Roman",serif;"> The
next DMGP meeting will be in 2016 in Hamburg, Germany - <a href="http://www.dmgp-kongress.de/">www.dmgp-kongress.de</a></span>
</div>
</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-15149981321773933112015-06-12T01:59:00.000-07:002015-09-02T02:10:18.694-07:00“Trinational Hand Meeting” in Basel<div dir="ltr" style="text-align: left;" trbidi="on">
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<tr><td style="text-align: center;"><a href="http://3.bp.blogspot.com/-Nrw3qRlFZrk/Vea58iyl6xI/AAAAAAAAA6k/js33p1YmSbs/s1600/rhein-trinational-meeting.JPG" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="240" src="http://3.bp.blogspot.com/-Nrw3qRlFZrk/Vea58iyl6xI/AAAAAAAAA6k/js33p1YmSbs/s320/rhein-trinational-meeting.JPG" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Swimming in the Rhein (photo Dr. Gohritz)</td></tr>
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{page:WordSection1;} </style><span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;">The „Trinational Hand Meeting“ in Basel, Switzerland in May 2015 was
organized by Prof. Schaefer, head of Plastic and Hand Surgery and his team at
Basel University Hospital. This special meeting united only personally invited
hand surgeons from the Rhein region of Germany, Switzerland and France to
exchange practical experience and knowledge by discussing clinical cases in a
friendly and relaxed atmosphere. The invited speaker of this year was Jan
Fridén who presented an “Update on Functional Restoration in the Upper Extremity
after Spinal Cord Injury and Amputation”.</span></div>
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<span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;">The meeting took place at the Medartis Campus in Basel and also included
an exciting guided tour through the high-technology production sites of modern osteosynthesis
material. The scientific part was followed by a refreshing swim in the Rhein
and an invitation of the host to have a superb dinner with amicable
conversations at the traditional Basel restaurant “Schlüsselzunft”.</span></div>
<span style="font-family: Arial; mso-ansi-language: EN-US;"><span style="font-family: Times,"Times New Roman",serif;"></span></span></div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-9043539208797807082015-05-22T02:41:00.000-07:002015-06-01T07:14:48.805-07:00Grand Opening of Centre for Advanced Reconstruction of Extremities at Sahlgrenska University Hospital<div dir="ltr" style="text-align: left;" trbidi="on">
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://2.bp.blogspot.com/-25cH84yq994/VWwgNTNZu0I/AAAAAAAAA6Q/Y3vAtwvFNBM/s1600/Cutting%2BRibbon.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="213" src="http://2.bp.blogspot.com/-25cH84yq994/VWwgNTNZu0I/AAAAAAAAA6Q/Y3vAtwvFNBM/s320/Cutting%2BRibbon.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Using his robotic arm, Magnus Niska cuts the symbolic band </td><td class="tr-caption" style="text-align: center;"><br /></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"></td><td class="tr-caption" style="text-align: center;"><br /></td></tr>
</tbody></table>
<div style="text-align: justify;">
A highly anticipated and much wanted dream came true when C.A.R.E., "Centre for Advanced Reconstruction of Extremities", was officially opened on May 22nd. More than 150 patients and visitors attended the event. </div>
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<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-9lzXrIbbiro/VWwgHh899mI/AAAAAAAAA6I/JyavL0wHRLk/s1600/Patient%2Bfollow%2Bup.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="228" src="http://1.bp.blogspot.com/-9lzXrIbbiro/VWwgHh899mI/AAAAAAAAA6I/JyavL0wHRLk/s320/Patient%2Bfollow%2Bup.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Filip Andersson demonstrates his hand skills after reconstruction</td></tr>
</tbody></table>
<div style="text-align: justify;">
Vice Chair of Sahlgrenska University Hospital, Professor Lars Grip spoke to the audience. Lars Grip said: "This is day of completion of a deliberate effort by the Hospital and Academy to merge two highly specialized branches of hand and orthopaedic surgery to the benefit of our patients. They will be welcomed to an integrated, translational, research-intensive, modern and patient-friendly facility. We have high expectations that this new unit will allow development of advanced reconstructions in patients with paralyses of extremities or amputations after injuries and diseases". Targeted muscle innervation, nerve and tendon transfer techniques, osseo-integration of brain-governed robotic arms and skilled personnel for rehabilitation will guarantee development and expert treatment at many levels. According to Dr. Carina Reinholdt, chair of C.A.R.E., patients with needs for assessment and treatment after cervical spinal cord injuries, brain injury with spasticity, plexus injuries and other peripheral nerve injuries as well as amputations are welcome to this new unit. "I also want to stress that patients from other countries outside Sweden may be referred to us", said Dr. Reinholdt.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-64677593105451596992015-05-15T06:00:00.000-07:002015-09-03T06:04:26.294-07:00Grand Rounds Presentation at Rehabilitation Institute of Chicago<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<a href="http://1.bp.blogspot.com/-keH3WBHbAbw/VehD6aDbwbI/AAAAAAAAA7U/F0mZQ2FFQlA/s1600/Rick%2Bportrait.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="http://1.bp.blogspot.com/-keH3WBHbAbw/VehD6aDbwbI/AAAAAAAAA7U/F0mZQ2FFQlA/s200/Rick%2Bportrait.png" width="179" /></a><span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;">The Rehabilitation Institute of Chicago (RIC) invited Jan Fridén on May 13-14th</span>, 2015 to give a presentation during „Grand Rounds“ on modern strategies of
“Upper Extremity Surgical Rehabilitation in Tetraplegia“. He was invited by
Prof. <span lang="EN" style="font-family: "Times New Roman"; mso-ansi-language: EN; mso-bidi-font-weight: bold; mso-font-kerning: 18.0pt;">Richard L. Lieber (photo) who
was recently selected as </span><span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;">the new </span><span lang="EN" style="font-family: "Times New Roman"; mso-ansi-language: EN; mso-bidi-font-weight: bold; mso-font-kerning: 18.0pt;">Chief
Scientist and Senior Vice President of Research. </span><span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;">The RIC is recognized since more
than 20 years as the nation`s highest ranked provider of physical medicine and
comprehensive rehabilitation and operates the largest rehabilitation research
enterprise in the world. Special areas of its innovative applied research and
discovery programs include spinal cord injury, stroke, traumatic brain injury,
neurological rehabilitation, outcomes research, pediatric orthopedics and
bionic extremity reconstruction.</span>
<span style="font-family: "Times New Roman"; mso-ansi-language: EN-US;"></span></div>
</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-41045711291153677732015-05-02T06:16:00.000-07:002015-09-03T06:16:44.757-07:00World-Wide Internet Distribution of “Update on Hand Surgery in Tetraplegia” in IFSSH-Ezine<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<a href="http://4.bp.blogspot.com/-9SMhLkbZkLg/VehH-28mteI/AAAAAAAAA7c/KqGwOZrkVsE/s1600/ifssh%2Bfront%2Bpage.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-9SMhLkbZkLg/VehH-28mteI/AAAAAAAAA7c/KqGwOZrkVsE/s200/ifssh%2Bfront%2Bpage.jpg" width="146" /></a><b style="mso-bidi-font-weight: normal;"><span style="font-family: Arial; mso-ansi-language: EN-US;"></span></b><span style="mso-ansi-language: EN-US;">A 14 page digital report
of the committee of nerve and spinal cord injury (chaired by Ann Nachemson,
Sweden) on current practice of hand surgery in spinal cord injury was published
by the International Federation of Societies of Surgery of the Hand (IFSSH). The
authors were Jan Fridén and Andreas Gohritz. The article is in 2 parts, the
first included principles (definition, clinical outcomes, current utilization)
and a second part on operative techniques, above all tendon and nerve transfer,
to restore elbow and wrist extension, forearm pronation, hand grip and opening
intrinsic function and reduce spasticity. </span>
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<span style="mso-ansi-language: EN-US;">The IFSSH Ezine, a
digital publication available to the global Hand Surgery and Hand Therapy
communities free of charge. It has been established with the purpose of uniting
the global hand surgery community and is intended to be a publication for IFSSH
members, by IFSSH members. </span><span style="font-family: Arial; mso-ansi-language: EN-US;"></span></div>
</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-27748798202053284432015-02-23T14:54:00.000-08:002015-03-16T15:06:53.583-07:00South African Society for Surgery of the Hand Refresher Course<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-CkDwRDpqmyA/VQdI-vnRukI/AAAAAAAAA5k/zkjX1sCEekg/s1600/Johannesburg.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-CkDwRDpqmyA/VQdI-vnRukI/AAAAAAAAA5k/zkjX1sCEekg/s1600/Johannesburg.jpg" height="162" width="200" /></a></div>
<span style="font-size: small;">South African Society for Surgery of the Hand arranged their annual refresher course in Johannesburg i</span>n the end of February. Topics included this year were:<br />
<div style="text-align: left;">
<br /></div>
<div style="text-align: left;">
<b>ANATOMY AND BIOMECHANICS CONGENITAL ABNORMALITIES</b></div>
<div style="text-align: left;">
<b>CP, STROKE AND BRAIN INJURY TETRAPLEGIA</b></div>
<div style="text-align: left;">
<b>TENDON TRANSFERS </b></div>
<div style="text-align: left;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-kU3w64oqQnQ/VQdEBVEb8zI/AAAAAAAAA5Q/kexOzGENsv4/s1600/images.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-kU3w64oqQnQ/VQdEBVEb8zI/AAAAAAAAA5Q/kexOzGENsv4/s1600/images.jpg" height="133" width="200" /></a></div>
<div>
<div style="text-align: justify;">
Invited speakers were Drs Donald Sammut, UK and Jan Fridén, Sweden. Dr Sammut covered the complicated anatomy and biomechanics of the hand in a most fascinating way. Using didactic drawings and animations, the 3-D perspectives and the deformities caused by simulated paralyses became comprehensible. Brachial plexus and peripheral nerve injuries were taught in step by step assessment/treatment style with the presenters´ personal recommendations. Dr Fridén gave overview lectures about tendon transfer surgery, tetraplegia, brain and peripheral nerve injuries. Prof. Hans Myburgh reported the "South African tetraplegia surgery experience so far and the way forward" and Ms Melanie Skeen presented program for "Rehabilitation of the Tetraplegic Patient. The outcomes demonstrated clear improvements of functions, performance and satisfaction after surgery</div>
<div style="text-align: justify;">
<br />
Plenty of time was given for discussions at this highly appreciated and well-organized Refresher course.</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-clV-4FTxSHY/VQdEFXCji-I/AAAAAAAAA5Y/M8niqEqk-vs/s1600/sassh.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://3.bp.blogspot.com/-clV-4FTxSHY/VQdEFXCji-I/AAAAAAAAA5Y/M8niqEqk-vs/s1600/sassh.png" /></a></div>
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<a href="http://1.bp.blogspot.com/-VT-nps4In84/VIrIhVM73aI/AAAAAAAAA2Y/0Y1HMXatZv4/s1600/Nordic%2BTetrahand%2BTherapist%2BGroup.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-VT-nps4In84/VIrIhVM73aI/AAAAAAAAA2Y/0Y1HMXatZv4/s1600/Nordic%2BTetrahand%2BTherapist%2BGroup.jpg" height="230" width="400" /></a></div>
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<span style="font-family: Times,"Times New Roman",serif;"><span lang="EN-GB">Therapists from </span><span lang="EN-GB"><span lang="EN-GB">Denmark, Finland, </span>Iceland, Norway and Sweden met in Gothenburg in the end of November. During three intensive
days we discussed, learned from each other and tried to reach consensus upon
rehabilitation after reconstructive upper limb surgery. We had detailed discussions about outcome
measures and rehabilitation strategies for triceps reconstructions, grip
reconstructions and surgery for spasticity-induced deformities. Each country described
the rehabilitation strategies today and Jette </span><span lang="SV" style="mso-ansi-language: SV;">Skyggebjerg</span><span lang="SV"> </span><span lang="EN-GB">from Denmark gave us a short report from the recently published
article about long term follow up on the surgeries performed in Denmark. We
also visited a training session with a patient two days after grip
reconstruction.<span style="mso-spacerun: yes;"> </span>At the end of this brief summit, a
first version of Nordic guidelines for rehabilitation after tetraplegia upper limb
surgery was agreed upon.<span style="mso-spacerun: yes;"> </span>Each unit will
discuss this initial version and further work will be done during the next NORTH-meeting that will be hosted in Denmark in September 2015. The meeting did however not only include hard
work. During the evenings we had social activities including dining,
singing, boat trip and sauna including bath in the 7°C “warm” ocean! We got
to know each other more and are looking forward to future cooperation between our
countries. </span></span></div>
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<span style="font-family: Times,"Times New Roman",serif;"><span lang="EN-GB">Finally, we would like to extend a special thanks to
Professor Leiv Hove in Bergen, Norway and the Nordic Council for financial
support that made this meeting both memorable and fruitful.</span></span></div>
<div class="MsoNormal">
<br />
<span style="font-family: Times,"Times New Roman",serif;"><span lang="EN-GB">Johanna
Wangdell, Anna-Karin Gustavsson & Lina Bunketorp- Käll</span></span></div>
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<span style="font-family: Times,"Times New Roman",serif;"><br /></span></div>
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<span style="font-family: Times,"Times New Roman",serif;"><span style="font-size: small;">Participants shown in picture: Island: Sigþrúður (Sissu) Loftsdóttir, Sunna Kristinsdóttir. Finland: <span style="color: #1e1e1e;">Leena Mäntylä, </span>Pia Nahi. Denmark: Susanne Berner
Nielsen, Jette Skyggebjerg. Norway: Anett Myhre Kallevik, Elin Widegren Norum. Sweden: Johanna
Wangdell, Anna-Karin Gustavsson, Lina Bunketorp- Käll</span></span></div>
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<br /></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-74641245880720457552014-12-11T06:19:00.000-08:002014-12-11T23:49:03.886-08:00Surgical denervation for joint arthritis in spinal cord injured patients – small incisions for great pain relief<div dir="ltr" style="text-align: left;" trbidi="on">
<a href="http://2.bp.blogspot.com/-B1OPN3bARNU/VImlpSliuuI/AAAAAAAAA2I/CeZ8mU3es0w/s1600/CMC%2BI%2Barthrosis%2BX-ray.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><br /></a>
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<a href="http://4.bp.blogspot.com/--dwxEEnQ9vg/VImlYNwyE_I/AAAAAAAAA1w/Kkrgz4236jc/s1600/Gohritz%2Bportrait.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/--dwxEEnQ9vg/VImlYNwyE_I/AAAAAAAAA1w/Kkrgz4236jc/s1600/Gohritz%2Bportrait.jpg" height="200" width="150" /></a>Patients with para- or tetraplegia frequently suffer from painful arthrosis, especially in their upper extremity due to heavy load during wheel-chair driving and transfers. However, frequently used bony procedures, such as fusions (arthrodesis), arthroplasty or joint implants have great disadvantages for this population, as they require long post-operative immobilization or severely restrict joint mobility which is a prerequisite for using manual wheel-chairs.<a href="http://2.bp.blogspot.com/-B1OPN3bARNU/VImlpSliuuI/AAAAAAAAA2I/CeZ8mU3es0w/s1600/CMC%2BI%2Barthrosis%2BX-ray.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-B1OPN3bARNU/VImlpSliuuI/AAAAAAAAA2I/CeZ8mU3es0w/s1600/CMC%2BI%2Barthrosis%2BX-ray.jpg" height="160" width="120" /></a></div>
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Surgical denervation means selective transection of nerve fibers transmitting pain from the joint to the brain which leads to significant reduction of pain symptoms. Joint integrity, skin sensitivity and motor innervation remains unaffected. No implants, postoperative rehabilitation or immobilization is required and early functional training is possible. All more invasive procedures, if needed in future, remain feasible. </div>
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This technique requires thorough anatomical knowledge and meticulous surgical technique. Since its introduction in the 1960ies, initial success rates of 80% or more have been reported for wrist but also in other joints, such as the shoulder, elbow, hand (finger and thumb) or the lower extremity (knee and ankle) have been successfully treated with this technique.</div>
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The effect of the operation can be predicted pre-operatively by temporarily blocking the nerves responsible for the respective joint by local anaesthesia.</div>
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<a href="http://1.bp.blogspot.com/-a6k4H9JUdLU/VImlhICNAoI/AAAAAAAAA14/OlzwJ_kz4WQ/s1600/Denerv%2Bwrist%2B1.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-a6k4H9JUdLU/VImlhICNAoI/AAAAAAAAA14/OlzwJ_kz4WQ/s1600/Denerv%2Bwrist%2B1.jpg" height="198" width="264" /></a><a href="http://1.bp.blogspot.com/-M6nXDrcLEsY/VImljCIiNqI/AAAAAAAAA2A/Wjh8bo7eb3Y/s1600/Denerv%2Bwrist%2B2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-M6nXDrcLEsY/VImljCIiNqI/AAAAAAAAA2A/Wjh8bo7eb3Y/s1600/Denerv%2Bwrist%2B2.jpg" height="198" width="264" /></a> <br />
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In patients with spinal cord injuries, the method has been introduced
recently at the Swiss Paraplegia Center in Nottwil by Dr. Andreas
Gohritz. The incisions are small as depicted in the schematic picture,
but great relief is possible, above all in painful wrists and thumb
carpo-metacarpal (basis of the thumb) joints.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-68988838735451353292014-11-01T00:16:00.000-07:002014-11-17T02:20:20.543-08:00German Congress for Orthopaedics and Traumatology<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://4.bp.blogspot.com/-LGHCZ11Pbrw/VGfctVHR45I/AAAAAAAAA0U/UhZIMgdezTw/s1600/DKOU.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-LGHCZ11Pbrw/VGfctVHR45I/AAAAAAAAA0U/UhZIMgdezTw/s1600/DKOU.png" height="92" width="320" /></a></div>
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<a href="http://2.bp.blogspot.com/-T9RL5_3Hsl0/VGfdtYZL7UI/AAAAAAAAA0s/Gw9vDEA8FiQ/s1600/6839-004-8C944D0C.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-T9RL5_3Hsl0/VGfdtYZL7UI/AAAAAAAAA0s/Gw9vDEA8FiQ/s1600/6839-004-8C944D0C.jpg" height="157" width="200" /></a><a href="http://2.bp.blogspot.com/-T7dCmAprJV4/VGhiQcSbWfI/AAAAAAAAA08/4-rCo3EI3Ng/s1600/CHAZ_10_2014.gif" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-T7dCmAprJV4/VGhiQcSbWfI/AAAAAAAAA08/4-rCo3EI3Ng/s1600/CHAZ_10_2014.gif" height="200" width="155" /></a>The German-speaking Speaking Society of Paraplegia arranged a session
about "The Tetraplegic Hand" organized by Dr Doris Maier (Murnau) and
chaired by Dr Richarda Böttcher (Berlin) at the DKOU congress in Berlin 28-31 October 2014. The following topics were
addressed: "Assessment of Hand Function in Tetraplegia "(Martina
Geuther), "Loss and Restoration of Hand Function" (Diana Sigrist-Nix),
"Opportunities with Tetraplegia Hand Surgery" (Jan Fridén) and "Loss of
Hand Function - What can Technology offer?" (Rüdiger Rupp). This
session covered a large spectrum of recent advances research frontiers
ranging from assessment, evalation, nerve and tendon transfer surgery to
neuro-engineering. In connection with this congress, Drs Jan Fridén and Andreas Gohritz published an overview of the tetrahand surgery field: Fridén J, Gohritz A. Rekonstruktion der Arm- und Handfunktion bei Halsrückenmarklähmung, Chir All 15:595-605, 2014.<br />
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-6351570994916732352014-10-12T12:50:00.000-07:002014-11-15T12:51:44.608-08:00Tetrahand Surgery Theme at Spanish Paraplegic Society Congress<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://3.bp.blogspot.com/-grrmSxy_yqc/VGe2v-Fv8SI/AAAAAAAAAzk/iGNKSh7l_bE/s1600/Ovieto%2Bcongress.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-grrmSxy_yqc/VGe2v-Fv8SI/AAAAAAAAAzk/iGNKSh7l_bE/s1600/Ovieto%2Bcongress.png" height="114" width="320" /></a></div>
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<a href="http://3.bp.blogspot.com/-8ZNR8wwY5qk/VGe8IqClLlI/AAAAAAAAAz0/ZeWV1tig0q0/s1600/500px-Ayuntamiento_oviedo.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-8ZNR8wwY5qk/VGe8IqClLlI/AAAAAAAAAz0/ZeWV1tig0q0/s1600/500px-Ayuntamiento_oviedo.JPG" height="150" width="200" /></a>The Spanish Paraplegic Society held the annual congress this time in the city of Oviedo, Asturia. Tetraplegia hand surgery had its own session and Professor Jan Fridén was invited to deliver a keynote address about "State of the Art in Tetrahand Surgery". After the presentation, plenty of time<u> </u>was spent on discussing the when, where and how the surgical reconstruction strategies should be implemented. It was agreed that this type of service should be integrated as a normal part of the rehabilitation after spinal cord injury and that information to the patient should be provided during the primary rehabilitation period.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-13046476343458944432014-10-05T13:20:00.000-07:002014-11-15T13:44:46.182-08:00Extensive Exposure and Interest of Tetrahand Surgery at Asian Pacific Federation of Societies for Surgery of the Hand (APFSSH) Triennial Congress<div dir="ltr" style="text-align: left;" trbidi="on">
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Kuala Lumpur, Malaysia, hosted the 2014 triennial APFSSH congress in October. This well-organized meeting attracted many participants and several authorities in hand surgery. A novel attention was paid on the relatively under-utilized field of tetraplegia hand surgery. Hence, Professors Caroline Leclercq and Jan Fridén had a "Meet the Experts" session about strategies for reconstruction. They demonstrated clinical assessments live on spinal cord injured patients with tetraplegia and gave their expert opinions on how to improve hand function. Further, Jan Fridén gave an invited lecture on "Upper Limb Reconstructive Surgery in Tetraplegia" and another lecture on "Tendon Transfer Surgery". Taken together this congress gave a boost to the awareness of the opportunities to restore hand control in tetraplegic individuals.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-1411898941324820192014-09-03T00:19:00.000-07:002014-10-11T16:00:43.653-07:00Workshop on Surgical Management of Upper Extremity in Tetraplegia – State of the Art<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://4.bp.blogspot.com/-95Cllzk2n7E/VAwA5PwhlmI/AAAAAAAAAzA/wY4oJj335dI/s1600/ISCOS%2Blogo%2BMaasricht.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-95Cllzk2n7E/VAwA5PwhlmI/AAAAAAAAAzA/wY4oJj335dI/s1600/ISCOS%2Blogo%2BMaasricht.png" height="38" width="200" /></a></div>
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The International Spinal Cord Society (ISCOS) held the annual scientific meeting in Maastricht in September 2014. Multiple presentations, lectures and overviews covered important scientific progresses in several fields pertinent to the spinal cord injured patients' health and care. This year, a workshop on the Surgical Management of Upper Extremity in Tetraplegia, was given for the first time. This workshop filled the lecture room more than well with professionals directly or indirectly involved in rehabilitation of hand function in tetraplegia. The following aspects were included in the workshop: Upper extremity management in tetraplegia, Reconstructive surgery - indications and possibilities, Spasticity-reducing surgery, Post-operative management and Future perspectives on reconstructive upper extremity treatment in tetraplegia. Drs Anand Nene, Govert Snoek, Carina Reinholdt, Johanna Wangdell and Jan Fridén gave their expert opinions and encouraged future communications through courses and networks.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-52582332452897555372014-06-18T01:47:00.001-07:002014-11-15T10:53:44.371-08:00Nordic Tetrahand Surgery Units Meet in Reykjavik<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://4.bp.blogspot.com/-wwDsN2FXyJs/U6FGsdXcicI/AAAAAAAAAyU/jqvIcFkmkTI/s1600/Midnight+Reykjavik.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-wwDsN2FXyJs/U6FGsdXcicI/AAAAAAAAAyU/jqvIcFkmkTI/s1600/Midnight+Reykjavik.jpg" height="238" width="320" /></a></div>
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<span style="font-family: inherit;">Last week, the Tetrahand teams in all five nordic countries gathered at the 3rd annual NORTH (Nordic Tetrahand) meeting. This year the conference was held in Reykjavik, Iceland. Not only is Icelandic nature overwhelmingly spectacular but its care of spinal cord injured persons is professional and well connected to other nordic units. Dr Páll Ingvarsson from Grensáas Rehabilitation hospital reported how surgical and rehabilitation support from the Tetrahand clinic at Sahlgrenska University Hospital in Göteborg, Sweden has been instrumental for surgical reconstructions of tetraplegic patients in Iceland. Occupational therapist
<span style="font-size: 11pt; line-height: 115%;">Sigþrúður Loftsdóttir</span>
(left) presented a case report of the experience of the first patient sent to Sweden for reconstructions as well as the clinical outcomes of the surgeries performed on all Icelandic patients so far. Overall, the data showed high degree of satisfaction and major benefits in performance of daily activities. Guest speaker this year was Dr Andreas Gohritz from Department of Plastic Surgery, Basel University Hospital and Swiss Paraplegic Centre in Nottwil, Switzerland. He summarized the current knowledge of Nerve Transfer Surgery in Tetraplegia. </span></div>
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<a href="http://4.bp.blogspot.com/-SIdWYfhtnPc/U6FQlHojEBI/AAAAAAAAAy0/2cRS78P8uws/s1600/Sissu.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-SIdWYfhtnPc/U6FQlHojEBI/AAAAAAAAAy0/2cRS78P8uws/s1600/Sissu.jpg" height="150" width="200" /></a></div>
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<span style="font-family: inherit;">The Norwegian ambassador Dag Wernøe Holter invited all participants to a generous and highly appreciated </span><span style="font-family: inherit;"> reception at the Norwegian Embassy in Reykjavik. </span></div>
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Members of NORTH express gratitude to The Nordic Council for financial support to develop this network of experts. We also thank Dr Páll Ingvarsson and Professor Leiv Hove for excellent arrangements.</div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-51354228725085053592014-06-05T15:42:00.000-07:002014-06-06T09:57:30.372-07:00Hands Up for Rolling Stones<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="http://2.bp.blogspot.com/-2JILrKdKrww/U5Dqbbvi_HI/AAAAAAAAAxg/cLRVJ5PBZ7c/s1600/Gabriella.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-2JILrKdKrww/U5Dqbbvi_HI/AAAAAAAAAxg/cLRVJ5PBZ7c/s1600/Gabriella.png" height="196" width="320" /></a></div>
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<a href="http://4.bp.blogspot.com/-UasRT57Muu4/U5Dqp8XtEFI/AAAAAAAAAxw/uCnG5y8llEY/s1600/Rolling+Stones+Zu%CC%88rich+.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-UasRT57Muu4/U5Dqp8XtEFI/AAAAAAAAAxw/uCnG5y8llEY/s1600/Rolling+Stones+Zu%CC%88rich+.png" height="148" width="200" /></a><a href="http://4.bp.blogspot.com/-_VFeeyJje9c/U5DqhwpcbYI/AAAAAAAAAxo/0cJVQMtRBTg/s1600/Rolling+Stones.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-_VFeeyJje9c/U5DqhwpcbYI/AAAAAAAAAxo/0cJVQMtRBTg/s1600/Rolling+Stones.png" height="200" width="166" /></a>Gabriela (right) experienced many cheerful moments at the Rolling Stones "14 on Fire" concert in Zürich past weekend. At her follow-up after bilateral reconstructions of Triceps function today, she demonstrated the joy and feeling of freedom that she experienced by being able to stretch out her arms in space and join the crowd´s <span style="font-family: Cambria; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;">accolades </span>
at the memorable Stones performance. Triceps functions are usually described as important for driving manual wheelchair, reaching out in space and position the hand - typically mechanistic views surely crucial in daily life. Cheering at Rolling Stones is yet another but nevertheless powerful dimension of regaining arm control after reconstructive upper limb surgery. Gabriela´s achievement is <span class="short_text" id="result_box" lang="en" tabindex="-1"><span class="hps">admirable</span> <span class="hps">and inspiring to many spinal cord injured persons considering surgical reconstruction. Ambitious postoperative training has been one of keys of her success. Congratulations to Gabriela (and Rolling Stones).</span></span></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-71628769479975123542014-06-03T00:59:00.000-07:002014-06-03T01:18:07.814-07:00In Commemoration of Dr. Paul Brand<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">It is truly a great honor and pleasure to </span>hold the f<a href="https://www.vellorecmc.org/event/dr-jan-friden-will-deliver-1st-triennial-paul-brand-memorial-oration/">irst triennial Dr. Paul Brand Memorial Oration</a>, on September 5, 2014 in Vellore, India. Dr. Brand has impacted global hand surgery in general but specifically the hand surgeons performing tendon transfer surgery.</div>
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<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dr. Paul Brand was born on July 17th,
1914 to a missionary couple (Jesse and Evelyn Brand) and grew up in the Kolli Hills of Tamil Nadu, India until he went to the Great Britain in 1923 for education.<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
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In 1946, he joined the staff of the Christian Medical College&Hospital in Vellore, India .<span style="mso-spacerun: yes;"> </span>In 1950, with a
donation from a missionary woman, Brand established the New Life Center,
Vellore, as a model rehabilitation center. This helped dispel the stigma that
was so prevalent even among medical professionals. Correcting deformities to
restore the self-respect of patients and to integrate them into society was his
cherished goal.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">In 1966 and after 19 years of service
in India, he moved to the United States to take up the position of Chief of
Rehabilitation Branch at the National Hansen´s Disease Center at Carville, Louisiana. He worked there for 20
years and established a research unit to study the complications of insensitive
hands and feet, their prevention and management.</span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Dr. Paul Brand was one of the main architects of
the <a href="http://en.wikipedia.org/wiki/All-Africa_Leprosy_Rehabilitation_and_Training_Center" title="All-Africa Leprosy Rehabilitation and Training Center"><span style="color: windowtext; text-decoration: none; text-underline: none;">All-Africa
Leprosy Rehabilitation and Training Center</span></a> in Addis Ababa, Ethiopia., and the Schieffelin
Leprosy Research and Training Center at Karigiri, India, in Vellore district.<span style="mso-spacerun: yes;"> </span>Dr Paul Brand spent
a lifetime working with people affected by leprosy, doing his utmost to destroy
the stigma of the disease, and rebuild the lives of those destroyed by it. When he retired in 1986, he moved to Seattle
and continued his teaching work as emeritus professor of Orthopaedics at the University of Washington. </span></div>
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<br /></div>
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<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">From a hand surgery and hand therapy
point of view, Dr Brand was probably most known for his hand mechanics
"Bible" <span class="citation"><i>Clinical Mechanics of the Hand</i>. Mosby,
1985.</span></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b><span class="citation"><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Selected Literature</span></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paul Brand and Philip Yancey (1980). <i>Fearfully
and Wonderfully Made</i>. Zondervan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paul Brand and Philip Yancey (1983). <i>In His Image</i>. Zondervan. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paul W. Brand (1985). <i>Clinical
Mechanics of the Hand</i>. Mosby. </span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paul Brand and Philip Yancey (1993). <i>Pain:
The Gift Nobody Wants</i>. Zondervan. r</span><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">epublished in 1997 as
<i>The Gift of Pain.</i></span><span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Paul Brand (1993). <i>The Forever Feast</i>.
Vine Books.</span></div>
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<br /></div>
<div class="MsoNormal">
<span style="font-family: Times; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Jan Fridén </span></div>
</div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-19748987777858594362014-05-28T23:09:00.000-07:002014-05-28T23:34:08.104-07:00Nordic Council sponsors Tetrahand Surgery Congress in Iceland<div dir="ltr" style="text-align: left;" trbidi="on">
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<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-bX6iGi3T8s0/U4bKar-MRHI/AAAAAAAAAwk/FQjU-olG_ug/s1600/Landspitalli.gif" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-bX6iGi3T8s0/U4bKar-MRHI/AAAAAAAAAwk/FQjU-olG_ug/s1600/Landspitalli.gif" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Landspitalinn Main Hospital</td></tr>
</tbody></table>
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</style><span style="font-family: inherit;">The Nordic Council has acknowledged NORTH - Nordic Tetrahand Surgery and decided to sponsor our annual congress. This year it will be held in Reykjavik, Iceland on June 12-13. The Nordic Council, which was formed in 1952, is the official inter-parliamentary body in the
Nordic Region. The Council has 87
elected members from Denmark, Finland, Iceland, Norway and Sweden as
well as from the Faroe Islands, Greenland and Åland. </span><br />
<br />
<span style="font-family: inherit;"> <span style="mso-ansi-language: EN-US;">This year´s NORTH course will include for example the topics: Tetraplegia in Iceland<span style="mso-tab-count: 4;">, </span></span>Tips and tricks in Tetrahand surgery, <span style="mso-ansi-language: EN-US;">Report from the European course in Nottwil, </span><span style="mso-ansi-language: EN-US;">Salvage procedures,</span> Grip reconstruction - it is never too late, <span style="mso-ansi-language: EN-US;">Rehabilitation after surgery for spasticity and </span></span><span style="mso-ansi-language: EN-US;"><span style="font-family: inherit;">Complications to avoid. Local host in Iceland will be Dr Páll Ingvarsson. Venue: Hringsalur, Landspitali Hospital, Reykjavik. A site visit to Grensás Rehabilitation will be arranged for interested.</span></span></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-3935264006094381972014-05-21T05:31:00.000-07:002014-05-21T05:39:58.253-07:00New Center for Advanced Reconstruction of Extremities (CARE) established at Sahlgrenska University Hospital <div dir="ltr" style="text-align: left;" trbidi="on">
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</div>
<div class="separator" style="clear: both; text-align: justify;">
<a href="http://4.bp.blogspot.com/-oZFljajYvco/U3x4gPgXu1I/AAAAAAAAAvU/xblj8oKpbQw/s1600/care+op+team+20.5.2014.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><br /></a></div>
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<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-1H5OokdTIC4/U3yH4TDSrEI/AAAAAAAAAvk/45CY3PEMLqk/s1600/CARE+ward.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-1H5OokdTIC4/U3yH4TDSrEI/AAAAAAAAAvk/45CY3PEMLqk/s1600/CARE+ward.jpg" height="240" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Interior of Ward</td></tr>
</tbody></table>
<div style="text-align: justify;">
The Swedish Tetraplegia Hand Surgery service has changed setting. It is now established in a modern and more adapted facility that better meet the patient demands of space and availability. The ward is light with proximity to all necessary services i.e., occupational and physiotherapy, operation and recreational area. Seven patient rooms will guarantee privacy as well as care in an attractive environment. </div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-nFn1ET1RPZc/U3yXV6aXWRI/AAAAAAAAAv0/LaFYF91VJIY/s1600/Hospital+park+2.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://4.bp.blogspot.com/-nFn1ET1RPZc/U3yXV6aXWRI/AAAAAAAAAv0/LaFYF91VJIY/s1600/Hospital+park+2.jpg" height="200" width="150" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Immediate Access to Park</td></tr>
</tbody></table>
<div style="text-align: justify;">
<br /></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="http://4.bp.blogspot.com/-oZFljajYvco/U3x4gPgXu1I/AAAAAAAAAvU/xblj8oKpbQw/s1600/care+op+team+20.5.2014.jpg" style="margin-left: auto; margin-right: auto;"><img border="0" src="http://4.bp.blogspot.com/-oZFljajYvco/U3x4gPgXu1I/AAAAAAAAAvU/xblj8oKpbQw/s1600/care+op+team+20.5.2014.jpg" height="132" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Surgical Team</td></tr>
</tbody></table>
<div style="text-align: justify;">
This new center also includes amputee patients undergoing orthopaedic osseo- integration. In the interface of nerve transfer and targeted muscle innervation, the two subspecialities for treatment after loss of extremity functions will co-operate in a cross-professional and cross-scientific unit. </div>
<div style="text-align: justify;">
<br />
On May 20th, the first tetraplegic patient was operated at this new center. Tetrahand surgeons Jan Fridén and Carina Reinholdt together with assisting guest surgeon Francesca Toia from Palermo, Italy performed this operation - a complete grip reconstruction (photo left).</div>
<br /></div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-69715572048095010082014-02-19T13:41:00.002-08:002014-02-19T13:43:04.767-08:002014 Reconstructive Tetraplegia Hand Surgery Course in Nottwil/Basel - Now Open also for Therapists<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
Reconstructive Tetraplegia Hand Surgery and Rehabilitation, 23-26 April, 2014, Nottwil and Basel, Switzerland</div>
<div style="text-align: justify;">
</div>
<div style="text-align: justify;">
<a href="http://2.bp.blogspot.com/-4rfAE7IDX7I/UwUh8kQjXtI/AAAAAAAAAuM/jXl1OU2LnFI/s1600/gzi_brunnen_5618.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-4rfAE7IDX7I/UwUh8kQjXtI/AAAAAAAAAuM/jXl1OU2LnFI/s1600/gzi_brunnen_5618.jpg" height="222" width="320" /></a>This 3-days course under guidance of Prof. Jan Fridén will provide
state-of-the-art knowledge on surgical reconstruction of upper extremity
functions in persons with spinal cord injuries and tetraplegia. Our aim is to provide a science-based and reliable toolbox of
operative procedures for hand surgeons. For the first time we are also
inviting therapists to attend and learn fundamentals and guidelines in
assessments, training protocols, splinting and, most importantly, share experiences and ideas with each other.
</div>
<div style="text-align: justify;">
</div>
<div style="text-align: justify;">
Emphasis is on practical training. Therefore, for surgeons, one day
in the anatomy laboratory is dedicated to hands-on-training of
the most important tendon and nerve transfer procedures. For therapists, the same
day will be focused on practice of splinting and motor relearning.</div>
<div>
</div>
<div>
For details and registration, click <a href="http://www.paraplegie.ch/en/pub/spz/tetrahand_surgery.htm">here</a>. </div>
<div>
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<div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-24709285601404845282013-10-02T11:10:00.000-07:002013-12-21T18:22:25.217-08:00Loss and Recapture of Hand Control: Professor Jan Fridén at TEDxZurich <div dir="ltr" style="text-align: left;" trbidi="on">
<div dir="ltr" style="text-align: left;" trbidi="on">
<h4 style="text-align: justify;">
<span style="font-weight: normal;">The sophisticated control of the human hand is not guaranteed for life.
Numerous diseases and accidents may affect hand performance. One of the most dramatic
losses of hand control is the high spinal cord injuries at the neck level
causing complete paralysis of all four extremities. It can happen in traffic, when you are skiing or
snowboarding or even at home or in your garden.</span></h4>
<h4 style="text-align: justify;">
<span style="font-weight: normal;">But this is not the end of the story. Life is not over and mobility
can be restored using modern surgical techniques to transfer nerves and
muscles to reanimate lost functions and get hand control back. Some
examples of this fascinating surgery, the brain plasticity to relearn
and regain hand functions are demonstrated in this talk. Most importantly, the
individuals’ perception and course of motor relearning to achieve the
new functions are illustrated. Increased mobility and freedom by
integration of the new functions into daily activities is the ultimate
treatment success.</span></h4>
<h4>
</h4>
</div>
<iframe allowfullscreen="" frameborder="0" height="309" src="//www.youtube.com/embed/KXIkPIYwZdM?rel=0" width="550"></iframe></div>
Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-20956831335959004542013-09-06T14:38:00.000-07:002014-02-19T14:39:30.503-08:002nd NORTH (Nordic Tetrahand) Congress Held in Bergen, Norway<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-size: small;">Hand Surgeons and therapists from all nordic countries met for a two-days congress in <b>Bergen, Norway</b>, September 5-6, 2013. Topics covered included the following topics
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<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-size: small;"><span>"Epidemiological trends
in traumatic spinal</span><span> cord injuries during 50 years<span>", </span><span></span><span></span><span></span></span><span>"Principles
of tendon transfer"<span>, </span>"Surgical
Reconstruction of grasp control in tetraplegia<span>", </span>"From
finding function to daily use - Patients’
journey after grip reconstruction"<span>,</span><span> "</span>Enhanced
independence – patients experiences</span><span> after grip reconstruction<span>", "</span><span></span><span></span>Complications
after reconstructive tetra hand surgery"<span>, "</span>
from the Hong Kong Tetrahand congress 2013"</span><span style="line-height: 115%;">- nerve
transfer, and other news". </span></span></span></div>
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<span style="font-family: Times,"Times New Roman",serif;"><span style="font-size: small;"><span style="line-height: 115%;"><span style="font-family: inherit;"> Next congress was decided to be organized in Reykjavik, Iceland in June of 2014</span>.</span></span></span></div>
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<a href="http://3.bp.blogspot.com/-fGHqmCAns0g/UwUxkRz18YI/AAAAAAAAAuc/GOeyVrxChKQ/s1600/NORTH+Bergen.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://3.bp.blogspot.com/-fGHqmCAns0g/UwUxkRz18YI/AAAAAAAAAuc/GOeyVrxChKQ/s1600/NORTH+Bergen.jpg" height="217" width="400" /></a></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-49108667633257789952013-06-14T03:27:00.000-07:002013-06-14T03:33:32.621-07:00Successful Tetrahand Congress in Hong Kong<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="color: red;">The 11th International Meeting on Surgical Rehabilitation of the Tetraplegic Upper Limb</span> was recently held in Hong Kong. Participants from all continents participated in vivid discussions about various topics related to the reconstruction and rehabilitation of hand control in tetraplegia. The invited speakers covered a wide and informative spectrum of topics:</div>
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<b>Tragedy and Miracle</b><span style="font-style: italic;"> Khalid Mohammed (New Zealand), </span><b>Debilitating contractures in tetraplegia</b><span style="font-style: italic;">, Anne Bryden (USA), </span><b>Spasticity reducing surgery in tetraplegia</b>
<span style="font-style: italic;">Carina Reinholdt (Sweden), </span><b>Local experience in tetraplegic hand management</b> <span style="font-style: italic;">Josephine Wing Yuk Ip (Hong Kong), </span><b>Shoulder Pain in tetraplegia</b> <span style="font-style: italic;">Khalid Mohammed, </span><b>Nerve transfer in tetraplegia</b> <span style="font-style: italic;">Andreas Gohritz </span><span style="font-style: italic;">(Switzerland), </span><b>Tetraplegic Hand Reconstruction: the High and the Low </b><span style="font-style: italic;">Pak-Cheong Ho (Hong Kong), </span><b>The Alphabet procedure</b> <span style="font-style: italic;">Jan Fridén (Sweden), </span><b>Surgical balance of the thumb</b> <span style="font-style: italic;">Jeremy Simcock / Gordon Beadel (New Zealand), </span><b>Techniques for Intrinsic Balancing in the Hand</b> <span style="font-style: italic;">James House (USA), </span><b>Lessons Learned: Neuroprosthetics</b>, 1976-2013 <span style="font-style: italic;">Michael Keith (USA), </span><b>Myoelectric Control for Upper Extremity Neuroprostheses</b> <span style="font-style: italic;">Dustin Hardwick, </span><b>Functional electrical stimulation in tetraplegia hand surgery</b><span style="font-style: italic;"> Ines Bersch-Porada (Switzerland).</span></div>
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Panel discussions about current trends and choice of surgical techniques allowed colleagues to challenge the experts. Multiple high-standard free papers were presented. Some current trends could be identified. They included the use of neurotization to reanimate key motor functions, single-stage multi-procedure reconstructions, immediate active mobilization after surgery and a more clear focus on patient perceived perspective of decision-making process before surgery and considerations during the surgical rehabilitation. <span style="font-style: italic;"> </span></div>
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A lot of attention was paid to the "art" of intrinsic balancing i.e., the intricate restoration of normality of grasp. Jan Fridén, James house and Ursina Arnet (Photo left) provided clinical and kinematical data on how to best rebalance a paralyzed hand by use of active or passive actuators on finger joints. A consensus was reached about not only understanding the mechanics of the hand balance but also the superiority of the House procedure before other procedures to secure intrinsic balance.<span style="font-style: italic;"><br /></span></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.comtag:blogger.com,1999:blog-2538305253361062300.post-7100100332088277862013-03-20T04:13:00.000-07:002013-06-14T04:47:35.416-07:00Kappa Delta Award to US-Sweden Research on Muscle-Tendon Mechanics<div dir="ltr" style="text-align: left;" trbidi="on">
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<span class="" id="result_box" lang="en"><span class="hps">Jan</span> <span class="hps">Fridén</span>, professor of <span class="hps">hand surgery</span> <span class="hps">at the Sahlgrenska</span> <span class="hps">Academy and</span> <span class="hps">consultant at Sahlgrenska</span> <span class="hps">University Hospital</span>, has been awarded <span class="hps atn">the prestigious "</span>Kappa <span class="hps">Delta</span> <span class="hps"> Elisabeth Winston Lanier </span></span><span class="" id="result_box" lang="en"><span class="hps"><span class="" id="result_box" lang="en"><span class="hps">Award</span></span>."</span> <span class="hps">The prize</span>, which is shared with<span class="hps"></span> <span class="hps">the American researchers</span> <span class="hps">Richard</span> <span class="hps">Lieber</span> <span class="hps">and Sam</span> <span class="hps">Ward</span> <span class="hps">at University of California</span>, San Diego is<span class="hps atn"> given for "</span>Outstanding <span class="hps">Orthopaedic Research</span>." <span class="hps">The award ceremony took</span> <span class="hps">place at the</span> <span class="hps">AAOS</span> <span class="hps atn">Meeting (</span><span class="">American Academy of</span> <span class="hps">Orthopaedic Surgeons</span>) <span class="hps">in Chicago</span> <span class="hps">on March 20</span>. <span class="hps">The prize is worth</span> <span class="hps">20000</span> <span class="hps">U.S. dollars. Much of these scientists´work have focused on understanding the mechanics in tendon transfer surgery. Numerous new surgical procedures to reanimate lost upper limb function in tetraplegia have been developed and validated through this long-term collaboration.</span></span></div>
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Jan Fridénhttp://www.blogger.com/profile/07779686485402805490noreply@blogger.com