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Functional free muscle transfer for upper extremity reconstruction.

Milan Stevanovic1, Frances Sharpe

  • 1Los Angeles, Calif. From the Department of Orthopedics, University of Southern California Keck School of Medicine.

Plastic and Reconstructive Surgery
|April 16, 2014
PubMed
Summary

Functional free muscle transfer offers a solution for irreparable upper extremity functional losses. This reconstructive surgery is the best option for limbs with severe damage or congenital absence of motor function.

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Area of Science:

  • Reconstructive surgery
  • Microsurgery
  • Orthopedic surgery

Background:

  • Upper extremity functional losses pose a challenge when nerve or tendon transfers are insufficient.
  • Indications include brachial plexus injuries, trauma, Volkmann ischemic contracture, oncologic resection, and arthrogryposis.

Observation:

  • Review of authors' experience with functional free muscle transfer in upper extremity reconstruction.
  • Detailed examination of surgical techniques, donor muscle harvesting, and reconstruction sites.

Findings:

  • Presentation of specific cases and outcome reviews for functional free muscle transfers.
  • Demonstration of successful functional restoration in complex upper extremity deficits.

Implications:

  • Functional free muscle transfer is a definitive solution for non-reconstructible limb conditions.
  • This technique provides a vital option for restoring limb function and improving patient quality of life.