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Italian Man Might Regain1 Use of Hand after Nerve Operation
A man in Italy might regain the use of his hand after having a new kind of medical operation.
Doctors in northern Italy said the surgery used a nerve from the man's partly amputated leg to repair a damaged nerve in his hand. His hand became paralyzed after a severe driving accident.
Surgeons at Turin City Hospital took part of the man's sciatic nerve from his leg. That is the nerve which helps control movement in the foot. The doctors transferred part of the man's sciatic nerve to his brachial plexus. That is a network of nerves connecting the spinal2 cord to the shoulder, arm, and hand.
"It's the first time that someone [has transferred] a component3 of the sciatic nerve to the brachial plexus," said Paolo Titolo. He was one of the surgeons who performed the operation. He recently spoke4 with Reuters news agency.
The patient is Marcello Gaviglio, a 55-year-old healthcare worker. He had half of his left leg amputated after he was hit by a motorbike five months ago. The accident happened while he was travelling to work on his small, motorized bike called a moped.
He suffered serious injuries to his brachial plexus as well as his leg. The damage to his upper body left him unable to use both of his hands.
Because the part of the sciatic nerve that controlled his left foot was no longer needed, it could be transferred to the shoulder area. On December 21, doctors carried out the operation. They hope it will give him the ability to use his left hand.
Gaviglio will need about five months of special care after the operation. For now, he is still unable to move the hand at all.
Nerve transfer surgery is not new. But normally it does not involve moving a nerve that controls the foot to an area that controls the hand. For that reason, doctors involved in the operation are calling it "pioneering."
"We think this is pioneering surgery because if it works it means that the brain plasticity can control ... other parts of the body that we didn't expect," Titolo said. He added that the surgery opens new fields in nerve studies.
The aim is to restore "some grasp function" to the hand. That means the ability to hold objects. Titolo explained that this can help the other hand to do things.
The operation was the result of four years of research. It was published in the medical journal Injury.
Gaviglio, the patient, said he had given little thought to the pioneering part of the operation. He said he just felt that there was a chance for a good result. He said he thought about depending on a "team of very good doctors" and being able to move his hand again "a little bit."
Words in This Story
surgery –n. a medical operation
amputate –v. to remove a limb, such as an arm or leg, from the body to save a patient
paralyzed –adj. being unable to move
transfer –v. to move from one place to another
component –n. a part of a larger device or system
pioneering –adj. doing something or using new ideas for the first time; to be among the earliest people doing some activity
plasticity –n. the quality of being able to be changed into a different form
1 regain | |
vt.重新获得,收复,恢复 | |
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2 spinal | |
adj.针的,尖刺的,尖刺状突起的;adj.脊骨的,脊髓的 | |
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3 component | |
n.组成部分,成分,元件;adj.组成的,合成的 | |
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4 spoke | |
n.(车轮的)辐条;轮辐;破坏某人的计划;阻挠某人的行动 v.讲,谈(speak的过去式);说;演说;从某种观点来说 | |
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