Milan Stevanovic1, Frances Sharpe. 1. Los Angeles, Calif. From the Department of Orthopedics, University of Southern California Keck School of Medicine.
Abstract
BACKGROUND: Functional losses in the upper extremity that cannot be restored by nerve or tendon transfer present a treatment dilemma to the reconstructive surgeon. Common indications for functional free muscle transfer include late reconstruction of brachial plexus injuries, traumatic muscle loss, Volkmann ischemic contracture, loss resulting from oncologic resection, and congenital absence of motor function as seen in arthrogryposis. METHODS: This article reviews the authors' experience in upper extremity reconstruction using functional free muscle transfer. The indications and technique for functional free muscle transfer in the upper extremity are reviewed. Surgical details for sites of reconstruction and the nuances of harvesting the main donor muscles are presented. RESULTS: Specific cases and outcome reviews for several series of functional free muscle transfers are presented. CONCLUSION: Functional free muscle transfer is the best and final option for restoring function in an otherwise nonreconstructible limb.
BACKGROUND: Functional losses in the upper extremity that cannot be restored by nerve or tendon transfer present a treatment dilemma to the reconstructive surgeon. Common indications for functional free muscle transfer include late reconstruction of brachial plexus injuries, traumatic muscle loss, Volkmann ischemic contracture, loss resulting from oncologic resection, and congenital absence of motor function as seen in arthrogryposis. METHODS: This article reviews the authors' experience in upper extremity reconstruction using functional free muscle transfer. The indications and technique for functional free muscle transfer in the upper extremity are reviewed. Surgical details for sites of reconstruction and the nuances of harvesting the main donor muscles are presented. RESULTS: Specific cases and outcome reviews for several series of functional free muscle transfers are presented. CONCLUSION: Functional free muscle transfer is the best and final option for restoring function in an otherwise nonreconstructible limb.
Authors: Sayf A Said; Carlos X Ordeñana; Majid Rezaei; Brian A Figueroa; Srinivasan Dasarathy; Henri Brunengraber; Antonio Rampazzo; Bahar Bassiri Gharb Journal: Mil Med Date: 2020-01-07 Impact factor: 1.437
Authors: Mehmet Armangil; Seyyid Şerif Ünsal; Tuğrul Yıldırım; Uğur Bezirgan; Anar Keremov; Sinan Adıyaman; Sırrı Sinan Bilgin Journal: Jt Dis Relat Surg Date: 2021-11-19