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Updated: May 16, 2025

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers

Published on: October 29, 2021

Free-Functioning Muscle Transfers After Major Upper Limb Replantation.

Pedro C Cavadas^1,2, Tina M Y Lee¹

¹Clinica Cavadas, Reconstructive Surgery, Valencia, Spain.

Journal of Hand Surgery Global Online

|April 4, 2025

Summary

This summary is machine-generated.

Free-functioning muscle transfers (FFMTs) are effective for restoring motor function after major upper limb replantation. This study reviewed their use in 16 patients, highlighting their role in complex reconstructions.

Keywords:

FFMT Functioning muscle transfer Major amputation Major replantation Upper limb

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Last Updated: May 16, 2025

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Area of Science:

Orthopedic Surgery
Reconstructive Microsurgery
Upper Extremity Reconstruction

Background:

Major upper limb replantation is complex, often needing secondary procedures for optimal function.
Loss of critical forearm muscles was a contraindication for replantation.
Free-functioning muscle transfers (FFMTs) have expanded replantation possibilities.

Purpose of the Study:

To review indications for FFMTs in major upper limb replantation.
To discuss surgical considerations for FFMTs post-replantation.
To evaluate outcomes of FFMTs after upper limb replantation.

Main Methods:

Retrospective study of patients undergoing forearm or proximal upper limb replantation.
Inclusion of patients who subsequently received FFMTs for motor function reconstruction.
Data collected from 1998 to 2022.

Main Results:

16 patients received 20 FFMTs for finger flexion/extension reconstruction.
All patients underwent additional secondary procedures.
FFMTs were utilized to restore critical muscle function.

Conclusions:

Free-functioning muscle transfers are valuable for restoring motor function after major upper limb replantation.
FFMTs expand reconstructive options in complex cases.
Secondary procedures complement FFMTs for enhanced outcomes.