Report of the Historian Andreas Gohritz FESSH Council

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

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

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

6 th International Course Tetraplegia Surgery 2014 Nottwil, April 24 -26, 2014 50 participants, 18 countries 2 “Foerster fellowships” for colleagues from Wroclaw, Poland, St. Hedwig Hospital

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

Historical Evolution and Pioneers and Protagonists of Tetraplegia Hand Surgery Andreas Gohritz

Bunnell‘s first C 6 -7 patient with intact wrist dorsiflexion

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

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

Foot & Ankle Clinics, September 2013

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

1907 Langemark Germany 1918 Quenu 1926 Gold 1958 Grenda Poland 1965 Bassot France 1971 Hueston Australia 2000 Badalamente USA Article project (ongoing) Collagenase AUX 1/2 Hyaluronidase + Trypsin & Lidocain Hyaluronidase + Trypsin Hyaluronidase Pepsin Fibrinolysin Thiosinamin History of enzymatic fasciotomy in Dupuytren‘s contracture

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

Plastic Surgery in Germanspeaking Countries between 1900 and 1930 Andreas Gohritz Austrian Plastic Surgery Society, Velden Septmber 2013 (Invitation by ÖGPÄRC, M. Rab)

Carl Nicoladoni (*1847 +1902), Austria Inventor of tendon transfer and toe-tohand transfer Table cards for dinner with short bio and most important work of surgeon

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

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

12. Generosity and Hospitality E. g. Robert Danis (1888 -1960) Pioneer of “primary“ bony healing by fracture compression Danis‘ book “Théorie et Pratique de l‘Osteosynthesis“ (1949) and internship with him inspired Maurice Müller to found the AO group (1958)

Were our Ancestors always right ? Dogma: Epinephrin may lead to Finger Necrosis! Sterling Bunnell , Father of Hand Surgery of the Hand (1944) • report on finger necrosis • 21 anecdotal cases reported 1889 -1996, mostly multiple factors involved

11. commandment !!! Thou shalt NEVER INJECT EPINEPHRIN into a finger !

Wide awake Hand Surgery Denkler K et al. A comprehensive review of epinephrine in the finger: To do or not to do. PRS 2001; 108: 114– 124. Nodwell T et al. How long does it take phentolamine to reverse adrenalineinduced 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; 30 A: 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

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)

Historical Evolution of Nerve Transfers and Up-date on Use in Tetraplegia NORTH, Reykjavik, June 2014

History of Peripheral Nerve Surgery - October 2014

Thank you for your kind attention !