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Table of Contents
Intro
Preface
Contents
1: Decision-Making in Reconstructive Surgery
1.1 Analysis of Patient's Story and Expectations (Anamnesis)
1.1.1 Giving Enough Time and Space for the Patient's Description
1.2 Basics of Medical and Surgical Behavior
1.3 Multi-, Inter-, and Transdisciplinarity
1.3.1 The Concept of Transdisciplinarity
1.4 Imagery and Electrophysiology
1.4.1 Electrophysiology and the Dialogue with Neurologists
1.4.2 Nerve Fascicle Torsion, Parsonage-Turner Syndrome, and Neurogenic Thoracic Outlet
1.4.3 Muscle Testing
1.5 Basic Research
1.5.1 Tissue Engineering of Nerve and Muscle Cells
1.5.1.1 Neurobiology of Peripheral Nerve Injury and Regeneration
1.5.1.2 Neurobiology of Muscle Tissue
1.5.1.3 Classification of Nerval Injuries and Clinical Impact
1.5.1.4 Tissue Engineering
1.5.1.5 Muscle Tissue Engineering
1.5.1.6 Nerve Reconstruction and Tissue Engineering
1.5.2 Living Nerve-Muscle Interaction
1.6 Experience and Psychology
1.7 Evidence-Based Practice
1.8 Discussion
References
2: Pre- and Postoperative Functional Evaluation in Reconstructive Surgery
2.1 Routine Tools
2.1.1 Motion and Strength
2.1.2 Sensibility
2.1.3 Spasticity
2.2 Expert Tools
2.2.1 Electrophysiology (See Sect. 1.4)
2.2.1.1 Video-Assisted Movement Analysis (Vicon): Movement Lab
2.2.1.2 Motion Patterns (Fig. 2.5)
2.2.1.3 Modeling
2.2.2 Further Development of Scoring
2.3 Further Directions
2.3.1 Motion Analysis
2.3.1.1 Pre- and Postoperative Multifactor Movement Analysis
2.3.1.2 Further Research: Accelerometers
2.3.2 Video Analysis, Serious Games, Virtual Reality
2.3.2.1 Augmented Reality
References
3: Biomechanics and Physiology in Reconstructive Surgery of the Upper Limb
3.1 Motion: Kinematics
3.2 Force Vectors
3.3 Use
3.4 Basics on Motor and Sensitive Function
3.5 Cortical Plasticity
References
4: Invited Contributions: Fields Outside of My Work
4.1 Surgical Techniques in Upper Limb Amputation
4.1.1 Patient Identification
4.1.2 Amputation Level
4.1.2.1 Minor Amputations
4.1.2.2 Major Amputations
Transcarpal
Transradial
4.1.2.3 Elbow Exarticulation
Transhumeral
4.1.2.4 Glenohumeral/Forequarter
4.1.3 Surgical Techniques and Indications
4.1.3.1 Nerves
Targeted Muscle Reinnervation
4.1.3.2 Neuroma and Pain
4.1.4 Emerging Surgical Concepts
4.1.5 Soft Tissues
4.1.6 Bones
4.1.7 Segmental Shortening
4.1.8 Angulation Osteotomy
4.1.9 Osseointegration
4.1.10 Secondary Indications
4.1.11 Rehabilitation
4.2 Hand Transplantation
4.2.1 First, Constitute a Good Medico-Surgical Team
4.2.2 Second, Find a Good Candidate for Hand Transplantation
4.2.2.1 You Also Need to Find a Good Donor
4.2.3 Surgical Considerations
Preface
Contents
1: Decision-Making in Reconstructive Surgery
1.1 Analysis of Patient's Story and Expectations (Anamnesis)
1.1.1 Giving Enough Time and Space for the Patient's Description
1.2 Basics of Medical and Surgical Behavior
1.3 Multi-, Inter-, and Transdisciplinarity
1.3.1 The Concept of Transdisciplinarity
1.4 Imagery and Electrophysiology
1.4.1 Electrophysiology and the Dialogue with Neurologists
1.4.2 Nerve Fascicle Torsion, Parsonage-Turner Syndrome, and Neurogenic Thoracic Outlet
1.4.3 Muscle Testing
1.5 Basic Research
1.5.1 Tissue Engineering of Nerve and Muscle Cells
1.5.1.1 Neurobiology of Peripheral Nerve Injury and Regeneration
1.5.1.2 Neurobiology of Muscle Tissue
1.5.1.3 Classification of Nerval Injuries and Clinical Impact
1.5.1.4 Tissue Engineering
1.5.1.5 Muscle Tissue Engineering
1.5.1.6 Nerve Reconstruction and Tissue Engineering
1.5.2 Living Nerve-Muscle Interaction
1.6 Experience and Psychology
1.7 Evidence-Based Practice
1.8 Discussion
References
2: Pre- and Postoperative Functional Evaluation in Reconstructive Surgery
2.1 Routine Tools
2.1.1 Motion and Strength
2.1.2 Sensibility
2.1.3 Spasticity
2.2 Expert Tools
2.2.1 Electrophysiology (See Sect. 1.4)
2.2.1.1 Video-Assisted Movement Analysis (Vicon): Movement Lab
2.2.1.2 Motion Patterns (Fig. 2.5)
2.2.1.3 Modeling
2.2.2 Further Development of Scoring
2.3 Further Directions
2.3.1 Motion Analysis
2.3.1.1 Pre- and Postoperative Multifactor Movement Analysis
2.3.1.2 Further Research: Accelerometers
2.3.2 Video Analysis, Serious Games, Virtual Reality
2.3.2.1 Augmented Reality
References
3: Biomechanics and Physiology in Reconstructive Surgery of the Upper Limb
3.1 Motion: Kinematics
3.2 Force Vectors
3.3 Use
3.4 Basics on Motor and Sensitive Function
3.5 Cortical Plasticity
References
4: Invited Contributions: Fields Outside of My Work
4.1 Surgical Techniques in Upper Limb Amputation
4.1.1 Patient Identification
4.1.2 Amputation Level
4.1.2.1 Minor Amputations
4.1.2.2 Major Amputations
Transcarpal
Transradial
4.1.2.3 Elbow Exarticulation
Transhumeral
4.1.2.4 Glenohumeral/Forequarter
4.1.3 Surgical Techniques and Indications
4.1.3.1 Nerves
Targeted Muscle Reinnervation
4.1.3.2 Neuroma and Pain
4.1.4 Emerging Surgical Concepts
4.1.5 Soft Tissues
4.1.6 Bones
4.1.7 Segmental Shortening
4.1.8 Angulation Osteotomy
4.1.9 Osseointegration
4.1.10 Secondary Indications
4.1.11 Rehabilitation
4.2 Hand Transplantation
4.2.1 First, Constitute a Good Medico-Surgical Team
4.2.2 Second, Find a Good Candidate for Hand Transplantation
4.2.2.1 You Also Need to Find a Good Donor
4.2.3 Surgical Considerations