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Related Experiment Video

Updated: Jun 28, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Nerve transfer with functioning free muscle transplantation.

David Chwei-Chin Chuang1

  • 1Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei-Linkou, 5, Fu-Hsing Street, Kuei-Shan, Taoyuan 33305, Taiwan. micro@adm.cgmh.org.tw

Hand Clinics
|October 22, 2008
PubMed
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This summary is machine-generated.

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Functioning free muscle transplantation (FFMT) offers a solution for severe limb injuries when local tissue is unavailable. This advanced microneurovascular technique reconstructs major muscle loss, restoring function in complex cases.

Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Orthopedics

Background:

  • Advanced injuries with major muscle loss or denervation often lack suitable local tissue for reconstruction.
  • Existing techniques may be insufficient for complex cases like brachial plexus palsy or severe trauma.

Purpose of the Study:

  • To detail the application and principles of functioning free muscle transplantation (FFMT).
  • To provide guidance for reconstructive surgeons undertaking FFMT procedures.

Main Methods:

  • FFMT is an advanced microneurovascular technique.
  • It involves transferring a free muscle graft with its vascular and nerve supply.
  • Eight core principles for nerve transfer in FFMT are outlined.

Main Results:

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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

Related Experiment Videos

Last Updated: Jun 28, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

  • FFMT has been successfully applied in diverse clinical scenarios.
  • Successful applications include adult and obstetric brachial plexus palsy, facial palsy, Volkmann's ischemia, and severe crushing/traction injuries.
  • The study is based on over 333 FFMT cases performed between 1995 and 2005.

Conclusions:

  • FFMT is a viable and effective option for reconstructing major muscle loss when local tissues are inadequate.
  • The technique presents a new challenge and requires adherence to specific surgical principles.
  • Successful outcomes are demonstrated across a range of complex reconstructive challenges.