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Related Experiment Videos

Functioning free-muscle transfer for brachial plexus injury.

Allen T Bishop1

  • 1Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. bishop.allen@mayo.edu

Hand Clinics
|January 26, 2005
PubMed
Summary

Free-muscle transfers are essential for managing brachial plexus injuries, especially for restoring elbow flexion in delayed cases. Combined techniques can enable grasp function and improve shoulder, hand, and triceps capabilities.

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Area of Science:

  • Reconstructive surgery
  • Microsurgery
  • Orthopedic surgery

Background:

  • Brachial plexus injuries significantly impair upper limb function.
  • Delayed presentation often limits treatment options for these injuries.

Purpose of the Study:

  • To highlight the efficacy of free-muscle transfers in managing brachial plexus injuries.
  • To outline indications for free-muscle transfers, particularly for elbow flexion restoration.

Main Methods:

  • Free-muscle transfer procedures are utilized for functional restoration.
  • Combined nerve transfers and grafts are employed for comprehensive functional recovery.

Main Results:

  • Free-muscle transfers are crucial for restoring elbow flexion in patients with delayed presentation (6-9 months post-injury).

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  • Double free-muscle transfers, alongside nerve procedures, can facilitate simple grasp function.

    • Conclusions:

    • Free-muscle transfers are a vital component in the surgical management of brachial plexus injuries.
    • These techniques offer significant functional benefits, including elbow flexion and grasp, when applied appropriately.