21/09/2023
Functioning Free Muscle Transplantation to Restore Finger Movement for Sequalae of Volkmann Ischemic Contracture
Written by Kota Hayashi , Tommy , David Chuang and Johnny Lu (corresponding author).
Published in Hand Clinic, available online ahead of print
1) VIC affects all tissues involved, from deep to superficial, including not just muscles but ALSO nerves
2) Joint contractures must be corrected, and fibrotic nonviable muscles must be removed before the implementation of FFMT.
3)Three-staged strategy is necessary to achieve optimal outcomes. REMOVE > REHAB > REPLACE
4) Application of the functioning free muscle transplantation (FFMT) for treatment of Volkmann ischemic contracture (VIC) is markedly different from trauma and brachial plexus injury.
5) Gracilis FFMT for VIC needs to include a reliable skin flap paddle in order to facilitat closure in the forearm.
This paper was a no brainer to write with Kota. Enjoyed the discussions over the aims, content and the technical concerns. Kota did most of the work and I just provided the pics and revisions. Many thanks to Dr Harvey Chim and Dr Kevin Chung for the invitation, and most importantly to David Chuang for the experiences and teachings over the years.
Link:
https://authors.elsevier.com/a/1hlbK2gKQyA8x0
21/09/2023
Quantifying Patient-Initiated Upper Extremity Movement After Surgical Reconstruction for Adult Pan-Brachial Plexus Injury
Published in the journal “Neurosurgery”, available online ahead of Print
This is the first of collaborations between Chang Gung peripheral nerve team (David Chuang, Tommy Chang, me) and the Michigan nerve team (Lynda Yang, Susan Brown, Kevin Chung, Whitney Muhlestein and Kate Chang). Through a lot of hard work and efforts, both teams were able to demonstrate the feasibility of using wearable motion sensor technology to quantify spontaneous arm movement in adult patients with pan-brachial plexus injuries after surgical reconstruction and report the time and intensity with which the affected arm was used. Despite the severity of the injuries, these patients were able to use their affected arm 50% of the time and with 30% of the intensity of their unaffected arm, which is positively correlated with return to work after injury.
Highly valuable study in the realm of brachial plexus injury outcome evaluation, providing more objective and quantifiable data that is relevant and not abstract. MRC despite its convenience does not fully provide the scope and perspectives that newer technologies can provide. Thank you Dr Brown and Dr Yang and Dr Chung for initiating this important study and fostering collaborations between the two centers. Congratulations to Whitney and for a well written study.
06/09/2023
Instructional Course for Facial Paralysis Reconstruction
October 2nd to 5th, 2023
12 LIVE SURGERIES ⭐️
11 International Faculty🤩
3 full days of lectures🤓
Live interactions with faculty and facial nerve nerds around the world ❤️❤️
Souvenirs and Fun Activities
Chance to visit Chang Gung and Taiwan 🇹🇼
Please register!!
www.2023fpr.com
29/08/2023
Some more great photos from WSRM official website!
Thank you at Singapore. Wonderful memories❤️
