Free functional rectus femoris muscle transfer for restoration of knee extension and defect coverage after trauma

In March of 2000 and May of 2002, two patients underwent restoration of knee extension with a free neurovascular rectus femoris flap. The female patient was 10 years and the male patient 19 years old. Both patients sustained a complex trauma of the thigh with fracture of the femur and posttraumatic loss of quadriceps femoris muscles. Follow up of the patients was 51 and 27 months. After 8 months reinnervation were detected by Electromyography (EMG) in both patients and contraction became visible 2 months later. The female patient obtained a good and the male patient a very good functional result. Both patients were able to walk unaided. The authors concluded that free functional rectus femoris transfer can obtain excellent results in treating knee extension and soft-tissue defect due to trauma and loss of the quadriceps femoris muscles.