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An example of "free flap" could be a "free toe transfer" in which the great toe or the second toe is transferred to the hand to reconstruct a thumb. [1] For all "free flaps", the blood supply is reconstituted using microsurgical techniques to reconnect the artery (brings blood into the flap) and vein (allows blood to flow out of the flap).
A tendon transfer is a surgical process in which the insertion of a tendon is moved, but the origin remains in the same location. Tendon transfer involves redistribution of muscle power, not recreation. Tendons are transferred at the distal attachment from lesser to more important functions so that the overall function is improved.
The first short-term success in human hand transplant surgery occurred with Clint Hallam, [4] from New Zealand. Hallam lost his hand in an accident while in prison. [5] [6] [7] The operation was performed on September 23, 1998, [8] in Lyon, France, by a team assembled from different countries around the world led by French Professor Jean-Michel Dubernard, including Professor Nadey Hakim, from ...
A man may regain the use of his hand, left paralysed by a severe road accident, thanks to a pioneering nerve transfer operation from his partly amputated leg, doctors in northern Italy said.
Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. [1] Examples include reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury.
During this surgical intervention the wrist and the second toe are prepared for transfer at the same time. The ipsilateral second toe MTP joint, together with its metatarsal arteries, its extensor and flexor tendons and its dorsal nerves to the skin, is harvested for transfer. The distal and middle phalanx of the toe are removed.
Paul Wilson Brand, CBE (17 July 1914 – 8 July 2003) was a pioneer in developing tendon transfer techniques for use in the hands of those with leprosy.He was the first physician to appreciate that leprosy is not a disease of the tissue but of the nerves: it is the loss of the sensation of pain which makes sufferers susceptible to injury and leads to tissue rotting away, especially in the ...
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