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Carlo SACCO M.D. - EXTRAORDINARY SURGERY: "NERVE TRANSFER" FOR RECOVERY OF THE USE OF HANDS IN QUADRIPLEGIC PATIENTS

Surgical Video: NOTICE OF SENSITIVITY FOR VISITORS READ BEFORE CONTINUING
The scenes reproduced in the surgical video on the page below may disturb the sensitivity of visitors
WHO DECIDES TO ACCESS THE SURGICAL MOVIES IMPLICITLY AGREES TO THE VISION

IN 2014 THE Carlo SACCO M.D. WAS THE FIRST IN ITALY TO PERFORM THIS SURGERY IN QUADRIPLEGIC PATIENTS

Based on the anatomical situation and neurological conditions of quadriplegic patients, Carlo SACCO M.D. performs various types of "NERVE TRANSFER" surgery in order to recover the use of the hands. 
In the surgical video, a brachial branch of the MUSCULOCUTANEOUS NERVE is inserted for the ANTERIOR INTEROSSEOUS NERVE to be able to recover the nail flexion of the thumb and index finger.
BY CLICKING ON THE IMAGE NEXT TO THE TEXT YOU EXIT THIS WEB SITE AND ACCESS THE VANNI VERONESI YOUTUBE CHANNEL
 (in the part below there is the English translation of the intraoperative comment in Italian).
THIS VIDEO IS
MADE FOR EDUCATIONAL PURPOSES ONLY. PLEASE CONSULT YOUR DOCTOR BEFORE MAKING CARE DECISIONS.

English translation of the intraoperative comment in Italian
Patient of 35 years, six months ago spinal cord trauma with dive C4 fracture, spinal cord injury level C5.
We are doing nerve transfer surgery to try to recover the use of the fingers.
In the surgical field, the median nerve, the branch for the anterior interosseous nerve, the musculocutaneous nerve with the branch for the brachial muscle have been isolated.
The nerves exposed in the surgical field are stimulated at low intensity to demonstrate muscle movement in the brachial muscle and the long flexor muscle of the thumb.
The nerve transfer is then performed from a brachial branch of the musculocutaneous nerve pro anterior interosseous nerve.
RESTO DEL CARLINO - news city of LUGO (RA)
 24th january 2020

TITLE: "WE TRY TO RECOVER THE USE OF HANDS

Dr. SACCO Carlo, our referring physician for the pathology of the peripheral nervous system, personally performed all NERVE TRANSFER operations on the upper limbs in quadriplegic patients performed in our Department with the aim of recovering the use of the hands. This type of surgery was performed for the first time in Italy in 2014 by Carlo SACCO M.D.. 

The current case history, in March 2020, was made up of 14 patients from all over Italy. 

In some cases the surgical procedure was performed on both hands, in 2 cases also simultaneously during the same operating session, in total there are 17 hands treated.

webSITE OF MONTECATONE iNstitutE, Imola (BO)

MULTIDISCIPLINARY COLLABORATION FOR ITALIAN EXCELLENCE

Silvia OLIVI M.D., physiatrist, Head of the MRI Specialist Unit of the Institute of Montecatone, has been collaborating for many years with Carlo SACCO M.D., neurosurgeon of our SSD of Peripheral Nervous System Surgery, for the selection of quadriplegic patients who can benefit from the particular surgical technique of NERVE TRANSFER to the upper limbs to recover the use of the hands. 

In addition to selection based on clinical conditions, the most appropriate period for surgical treatment should also be evaluated. 

The results of the surgery can be seen after about a year, while waiting the patient will be followed and subjected to adequate physiotherapy.

Results of surgery and physiotherapy for the recovery of hand use in quadriplegic patients

Video, courtesy of Dr. OLIVI Silvia, Head of the MRI Specialist Unit of the Institute of Montecatone, which allows you to appreciate the recovery of the use of the hand of a quadriplegic patient operated by Dr. SACCO Carlo and subsequently subjected to treatment physiotherapy by Dr. OLIVI Silvia.

LAST UPDATE 24th MAY

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