Professor Rolfe Birch, a founding head in the field of peripheral neurological surgery, left an enduring legacy marked by groundbreaking research, innovative surgical techniques, and unwavering dedication to patient care. From his early fascination with the nervous system to his pioneering work in brachial plexus injuries and the establishment of the UK's (if not the continent's) first peripheral nerve injury unit, Prof. Birch's contributions transformed the landscape of understanding, diagnosing, and treating peripheral nerve pathologies.
View Article and Find Full Text PDFCentralising complex surgeries in specialised UK hospitals improves patient outcomes by leveraging high-volume expertise and optimising resources. Supraclavicular brachial plexus exploration, a complex and high-risk procedure, requires centralisation to enhance care standards. This approach ensures experienced teams, advanced diagnostics, and a multidisciplinary framework for preoperative, surgical, and postoperative care.
View Article and Find Full Text PDFA 73-year-old woman was referred to a National Centre for Peripheral Nerve Injury with a post-operative left radial nerve degenerative lesion following open reduction and internal fixation of a proximal third humerus fracture using radiolucent Arthrex FiberTape® Cerclage as an adjunct to plating to improve stability. Intra-operative photographs illustrate compression of the radial nerve under the cerclage construct. Use of radiolucent cerclage for humerus fractures is increasing with modern systems capable of withstanding an ultimate load of 4300 N.
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