Surgeons beyond borders: techniques revived in an underserved area

Collaboration in Outreach: The Kumasi, Ghana, Model

Hand surgery does not have to be expensive. Substituting evidence-based field sterility for main operating room sterility and using wide-awake, local anesthesia, no tourniquet (WALANT) surgery instead of sedation makes hand surgery much more affordable worldwide. This article explains how North Americans collaborated with Ghanaian hand surgeons and therapists to establish more affordable hand care in Kumasi. It describes how multiple nonprofit organizations collaborate to create trans-Atlantic Webinars and a reverse fellowship program to share hand surgery and therapy knowledge between North American and Ghanaian hand care providers.

The evaluation and treatment of children with brachial plexus birth palsy

The Andrew J. Weiland Medal is presented by the American Society for Surgery of the Hand to a mid-career researcher dedicated to advancing patient care in the field of hand surgery. The Weiland Medal for 2010 was presented to the author at the annual meeting of the American Society for Surgery of the Hand. The purpose of this article is to present a decade of research directed at establishing and building evidence in support of effective treatment of adolescents and children impaired by nerve injury. The primary beneficiaries of this effort are children affected by brachial plexus injury. The research goals have been to better understand their underlying problems, improve their lives via advanced diagnostic and surgical techniques, and, by applying appropriate outcome measures, better appreciate the changes to their lives brought about by therapeutic interventions.