ד״ר פרנק אטלן מומחה כף יד Dr Franck Atlan Hand Surgeon

11/05/2023

It was a great experience to sit in a panel with such prominent colleagues to talk about complex nerve cases at the combined meeting of the American and Israeli Societies for the surgery of the hand (ASSH/ISSH) last week.
As often in nerve surgery, the discussion was rich, nuanced, and with a fair amount of disagreement, which is precisely what makes it beautiful !
In a nutshell:
- nerve transfers have increasingly become a treatment of choice, but not for all patients and not for all lesions
- nerve graft is still an option, but not for all patients and not for all lesions
- Timing is key to therapeutical strategy
- tendon transfer still exists and still works
- Ultrasound skills empower nerve surgeons
- End-to-end, end-to-side, reverse end-to-side, side-to-side? We need another panel just about that (and a lot of additional literature).

17/03/2023

Spinal chord injury causes neurological impairment that follows predictable patterns depending on the level of the injury. When knowing what works and what does not, we can restore critical movements by giving a new purpose to nerves with a redundant or irrelevant job. Fox example, if you have several working nerves for elbow flexion but none for finger flexion, we can try and get a better functional deal with no additional ressource. In other words, use better what you already have. This trade off is the conceptual basis of nerve transfers, also called neurotizations. For those in the know, here is a supinator motor branch to posterior interosseous nerve transfer for finger MP extension (aka SPIN), and a brachialis motor branch to anterior interosseous nerve transfer for finger flexion. Can you find your anatomical way on the unlabeled pictures?


With the dream team

16/01/2023

Today Prof. Ronni Gamzu ,Eli Sprecher, Benjamin Soffer, Omer Muzzafi, Solomon Dadia, and myself had the honor to welcome Ambassade de France en Israël & Institut français Ambassade de France en Israël for a tour of Tel Aviv Sourasky Medical Center. The visit started at IMed TLV where we talked & . We then visited some of our centers of excellence, such as Sagol Brain Institute, institue for hyperbaric medicine, malram preventive medicine, and Sylvain Adams Emergency Hospital.
Today Israeli healthtech ecosystem is among the world’s leaders. What an exciting time to be fellow of the Israeli Society for HealthTech !

01/01/2023

פיזיותרפיסט/ית?
את ההרצאה הזו לא כדאי לכם.ן לפספס!
ספורטופדיה, מרפאת ספורט בניהולו של ד''ר מוקי יניב, מזמינה אתכם.ן להרצאה מרתקת בנושא כאבי גב תחתון.
את ההרצאה יעביר ד''ר רונן בלכר, כירורג עמוד שדרה מומחה ברפואת ספורט.

מהרו להירשם😎 (ללא עלות)
https://docs.google.com/forms/d/e/1FAIpQLSe8Bs5fcZVbOG-rz6pkPq5W3UcfuEH1ysORHvNIQAZ0CDvqhQ/viewform?usp=sharing

24/10/2022

I learnt so much and had so much fun today visiting
A world class leader in and
If you re wondering what our job will look like in 20 years, that s the place to visit!
Thank you Thomas 🙏

13/06/2022

Once in a while you get to meet in person people that deeply changed your life. WALANT is nothing less than a revolution, and it is a thrilling time to be a hand surgeon. We just start to understand the impact of Pr Lalonde s work in our practice, and it is already the biggest breakthrough of the last 50 years in our field. The man is as humble and nice as it gets, has infinite patience towards historical groupies such as myself, and keep preaching with the same passion years after years. What a Legend!

13/02/2022

Medial pectoralis to axillary nerve transfer to restore deltoid function. See the flickering of the remaining pectoralis while activating the deltoid. While still to weak to provide significant abduction, the deltoid already allows active reduction of the gleno-humeral subluxation.

31/12/2021

When it needs it heals!!

27/10/2021

14/05/2021

Pollicization for hypoplastic thumb type 4 (pouce flottant). One of the most elegant and helpful surgeries I know. Thanks to an amazing cortical plasticity, Kids have outstanding capacity to readjust their index finger into a thumb in no time. Palmar and dorsal interosseuse muscles are transferred to the ulnar and radial lateral band, becoming neo-FDI and neo-APB respectively. Huge thanks and endless respect to Dr Tamir Pritsch who taught me all I know in pediatric hand surgery!

09/01/2021

09/01/2021

Nice wake up call from the kid s room this morning for an acute lego emergency

04/01/2021

Minimally displaced fracture of the first phalanx are usually treated conservatively, unless there is an obvious sc******ng clinically, which was the case here. Reduction was not achievable percutaneously due to soft tissue interposition in the fracture. Screws fixation allowed early active motion. ROM at 2 weeks shown on picture. Happy new year everyone!

03/12/2020

Our Micro Lab is operational!
Huge honor and big responsibility to train residents from all kind of specialties to the Noble Art of Microsurgery.
🔬🔬🔬
Practices makes perfect!
No animal were harmed 😁

10/11/2020

Triple fascicle sural nerve graft for reconstruction of digital nerve after an old neglected palmar wound. Painful neuroma in palm was the main complain. Sensation will take months to recover (if at all), but the neuroma-related pain might disappear immediately. Beware of avocados🥑🥑

06/11/2020

Arthroscopy can be a useful tool in distal radius fractures: often mostly diagnostic (thus debatable?) but sometimes also therapeutic, like in this case with an intra articular osteochondral loose body. By the way, who can see it on the standard Xrays? Not me! I have never been sorry for asking a CT in those cases. Great weekend everyone!

14/05/2020

« Shoelace closure » for acute compartment syndrome of the forearm. Fancy night.
.gurel