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Report of the Historian. Andreas Gohritz. FESSH Congress 2010 Bukarest, June 22-25, 2010. Nicolaus Rüdinger (*1832 +1896). Barber, Surgeon, Anatomist Munich, Germany 1st Photographical Atlas in Anatomy (1871) Embalmed Ludwig II (1888). Joint denervation. Upper extremity Shoulder
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Report of the Historian Andreas Gohritz FESSH Congress 2010 Bukarest, June 22-25, 2010
Nicolaus Rüdinger (*1832 +1896) Barber, Surgeon, Anatomist Munich, Germany • 1st Photographical Atlas in Anatomy (1871) • Embalmed Ludwig II (1888)
Joint denervation • Upper extremity • Shoulder • Elbow • Wrist • Finger joints • Thumb joints • Lower extremity • Knee • Sinus tarsi Lee A. Dellon
“The Joint Nerves of the Human Body“ (1847) “ there is only here and there mention of nerve branches going to a joint …“
FESSH 2010, BukarestInstructional Course:History of Microsurgeryin Hand Mutilation –The European Perspective Andreas Gohritz, Edgar Biemer Hannover, Munich / Germany
Prehistory Myth of Saints Cosmas and Damian transplanting the leg of a servant to an esteemed churchman
Early Development ofMicrovascular Techniques Themistokles Gluck Alexis Carrel Carl-Olof Nylen
Double upper arm allotransplantationin Munich, July 2008 Performed by plastic surgeons led by C. Hoehnke / E. Biemer
Edgar Biemer – 40 years of Microsurgery in EuropeChir Main (2010) Current series on Pioneers of Hand Surgery with Tubiana, Pulvertaft, Moberg, …
Invited Lecture:Themistocles Gluck (1853-1942) - an early Romanio-German visionary of replacement surgery
Gluck‘s innovations • Nerve sutures / tx / tubes • Joint prosthesis • Shoulder / Wrist • Knee / Ankle • Biocompatibility / Allografts • Experimental animal studies • Organ resection / substituion • Surgery of the larynx • Vessel surgery (before Carrel) • Anticoagulation (leech extract)
Resistance of contemporaries • splendid ideas heavily opposed by German surgical establishment • “I cannot allow that you discredit German science …, my pupils and I will fight you with all means” (von Bergmann, 1891)
„Many reasons may favour going with the stream of tradition – yet original natures form their own ideas and follow them, even if those may not be translated immediately into practical facts.“ Themistokles Gluck (1931)
Who Was the First in History to Treat Radial Palsy by Tendon Transfer?Korteweg et al. PRS 2010; 125: 756Tomasz Z. Drobnik (Poland, *1858 +1901), 1894: ECRL EDC, ECRB (partial) EPLHOWEVER Patient with Poliomyelitis !
Who Was Really the First in History to Treat Radial Palsy by Tendon Transfer?Felix Franke (*1860 +1937) 8-y-old patient with radial palsy(e-physiologically confirmed)FCU EDC, FCR APL / EPB, Tenodesis ECRL/B 1st idea: Franke F. Ueber Sehnenüberpflanzung. Arch Klin Chir 1896; 52: 87-91.
Felix Franke. Ueber die operative Behandlung der Radialislähmung nebst Bemerkungen über die Sehnenverpflanzung bei spastischen Lähmungen. Arch Klin Chir 1898; 57: 763 „ … I have the right to say that there is no incurable radial palsy any more, at least if there is either the median or ulnar nerve unparalyzed“. Reply: accepted in Plast Reconstr Surg
Thank you for your kind attention FESSH Congress 2010 Bukarest, June 22-25, 2010