77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC17: A. Lee Osterman Excellence in Education Award 2022: A Learning Health System: Inspiring Lifelong Education - How to Educate in 21st Century “Leading” and “Following" (AM22)

IC17: A. Lee Osterman Excellence in Education Award 2022: A Learning Health System: Inspiring Lifelong Education - How to Educate in 21st Century “Leading” and “Following" (AM22)

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Video Transcription

Video Summary

The video discusses the success rates and complications of peripheral nerve surgery, particularly in hand and wrist conditions. The speaker highlights that despite complications, a significant number of patients (89%) experienced improvement or resolution of symptoms, while only a small percentage had unchanged (5%) or worsened (6%) symptoms. The importance of factors such as communication, patient selection, accurate diagnosis, and thorough evaluation is stressed to optimize outcomes and minimize errors and complications in nerve surgery.<br /><br />The panel discussion revolves around hand and wrist surgery, focusing on topics such as flexor tendon injuries, pronator syndrome, and nerve surgery. Key points made by the panelists include the significance of careful patient selection and comprehensive preoperative education to enhance surgical outcomes. They also emphasize the importance of timely intervention for flexor tendon injuries and suggest early repair whenever possible. Various surgical techniques, including pulley venting and using multiple loops for flexor tendon repair, are mentioned. Diagnostic blocks are recommended to confirm nerve injuries before surgical treatment.<br /><br />Postoperative care and rehabilitation are highlighted as essential for preventing complications like stiffness and adhesion formation. The panelists acknowledge the challenges faced in addressing complex cases, such as missed diagnoses and recurrent injuries, and discuss strategies to overcome those challenges. Clear communication with patients, multimodal approaches, and ongoing research and education are emphasized as key factors in improving surgical outcomes for hand and wrist conditions.

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Session Tracks Education

Speaker Bobby Chhabra, MD

Speaker John D. Lubahn, MD, FACS

Speaker L. Andrew Koman, MD

Keywords

Peripheral nerve surgery

Hand conditions

Wrist conditions

Success rates

Complications

Improvement of symptoms

Patient selection

Accurate diagnosis

Thorough evaluation

Flexor tendon injuries

Pronator syndrome

Nerve surgery