Peripheral Nerve Injury -Repair and Reconstruction-Pertinent surgical technique video one

Video Transcription

Video Summary

In the video, Dr. Steve Lee from Hospital for Special Surgery demonstrates three different transfers: the double fascicular transfer, the AIN (anterior interosseous nerve) to ulnar motor transfer, and the triceps branch to axillary nerve transfer. He provides an orientation of the proximal aspect of the extremity and identifies landmarks such as the coracoid process and antecubital fossa. Dr. Lee gives an overview of each transfer and emphasizes the importance of identifying the motor branches and dissecting them out. He demonstrates the step-by-step process of dissecting out the nerves, ensuring they are loose and without tension, and making the necessary cuts for the transfers. He also discusses the use of nerve stimulators and the technique of using glue to secure the coaptation of the nerves. Dr. Lee mentions the importance of timing for nerve transfers, with the golden period being between three to six months after injury. He also addresses the possibility of using end-to-side nerve transfers to preserve potential for reinnervation after injury. Overall, the video provides a detailed demonstration of the different transfers and highlights important considerations and techniques. There are no specific credits mentioned in the transcript.

Keywords

video

Dr. Steve Lee

nerve transfers

dissection

timing

end-to-side

reinnervation