Monday , January 30 2023

Tetraplegics can switch their hands over again – make a luminary in Nottwil


Thanks to new techniques, quadripiks move their hands and hands again. About 30 surgeons worldwide are involved in such operations. One of them is Ian Frieden from the Swiss Paraplegical Center in Nottwil.

Niels Jost

The surgeon, Jan Fyrden, has done more than 1,200 tetra-rheggics, so they can switch their hands over and over again. (Photo: Nadia Schärli (Nottwil October 30, 2018))

The surgeon, Jan Fyrden, has done more than 1,200 tetra-rheggics, so they can switch their hands over and over again. (Photo: Nadia Schärli (Nottwil October 30, 2018))

Jan Frieden is a competitor. No time to chat. The appointment was organized several weeks beforehand. It's amazing how the surgeon at the Swiss Paraplegic Center (SPZ) in Natctilia was able to access: T-shirts, casual simulator trousers and couplings. Frieden is charismatic, calm, but his source is concentrated. He was just on the operating table, says Schlew, but colleagues at the hands and tetrahedral surgery department continue this procedure.

Frieden speaks English fluently, even though he speaks good German and even speaks Swiss German. Thus, rectangular people can explain that they can restrain their hands and arms again – and one of the five has made a decision against that OS.

Yan Frieden, you are considered to be fluorescent in tetrahedral surgery, with about 1200 hand-redematations in patients with spinal cord injury. Although this method has been known since 1970, only about 30 surgeons around the world can do so.

Then the method was very low. Only a decade ago, the nervous system was upgraded, and since then has constantly evolved. My technic is unique because it can be done by one operation, so the patient can open and close his fingers without using muscles or scales. This is done by placing the muscles or nerves in a different position.

What are your patients and your six-member group at the SAR?

People with traumatic spinal cord can also come to the brain. Handicapped or handicapped people. Whether this is a catastrophe, disease, or infection, we can restore all parts of the hand or parts. We have three surgical procedures: we replace and recycle muscles, tendons or nerves.

"If you move your hand again, you'll get the perfect quality of life."

How does this work?

The technique used depends on the degree of spinal cord injury. If the paralytic is very deep, for example, the problem of muscle transmission is questionable. We move the muscle from the top or bottom to where it can perform central functions such as twisting or closing the fingers and opening the work.

That is, the tetragonal muscle is paralyzed, but still very few?

The muscles work full. They only need one impulse. To that end, we cut the affected nerve and put it in an inactive nerve. The nerve grows again to one millimeter per day! We ensure that the growing nerve obtains the target muscle, which, in turn, allows the specified access functions.

Conversation interrupted. Frieden's mobile phone. "It's an operating room, I have to go quickly to the ground," he says. Some tricks are later focused on the story, but he says: "After 30 minutes, we had to go back to the operating room."

How long will the operation last?

Five-six hours. But that is not enough.

What does this mean?

After this complicated procedure, patients should stay at the SLD for up to three months and then spend several months in the outpatient setting. Say: not far from home, from the clinic. Fifth one does not accept the operation.

How long does the recovery process take?

The patient must release all his arms and hands. It lasts for 12 months – it's hard work. For everyday life, even movements are very difficult. For example, if you want to remove the glass, first extend your hand, open your hand, hold the glass under sufficient pressure and finally turn the glass back. It requires time and balance.

"If someone does not face the learning process, surgery will not help."

Has your method been always successful?

If someone does not face the learning process, OP does not help. But before each intervention, we make trials and assumptions that restore the patient's work. It is not possible to recover 100% of the skills, but in any case we will achieve improvements.

What does this mean?

If you move your hand again, you will have the wonderful quality of life. When shocking or hugging someone, or even talking on a cell phone. In addition, patients can replace their carts. Such intervention changes the patient's entire life and environment. It encourages me to go to work everyday.

Is the insurance indemnity paid for this procedure?

Yes, but we tell insurers what skills the patient needs to return. But only if someone is dressed again this will release the health system for a long time.

Recently, the media reported that paragliding could go back again thanks to ETH therapy. Is that possible with your method?

No Foot raises the whole body weight. At present, muscle mass can not be restored by muscle or nerve transfer.

However, modern medicine is unlimited. How far should this be? Also, play ethical in your work
The Role Principles?

certainly. On the contrary, I think I can bestow on many people how to get these modern methods. They are available only in 15 countries. If it were more, it would be okay.

You have been working at the SPZ since 2011, before you headed the Tetra-Surgery Center at the Gothenburg University Hospital. Why Switch to Nottwil?

Nottwild's Hand Surgery Center is unique in Europe. Our team consists not only of surgeons, but also physiotherapists and professional therapists, researchers and doctoral students.

After 60 minutes, the interview ended. 5 minutes from the FRENEND Photo session. – Then I have to go to the operating room.

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