Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Functioning free-muscle transplantation for the upper extremity

D C Chuang1

  • 1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taipei, Taiwan.

Hand Clinics
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Subfascial anterior transposition: a modified method for the treatment of cubital tunnel syndrome (CuTS).

Techniques in hand & upper extremity surgery·2006
Same author

Contralateral C7 transfer (CC-7T) for avulsion injury of the brachial plexus.

Techniques in hand & upper extremity surgery·2006
Same author

Rehabilitation programs for the surgical management of obstetrical brachial plexus injuries in the early and late phases.

Techniques in hand & upper extremity surgery·2006
Same author

Traction avulsion amputation of the major upper limb: a proposed new classification, guidelines for acute management, and strategies for secondary reconstruction.

Plastic and reconstructive surgery·2001
Same author

The outcome of failed free flaps in head and neck and extremity reconstruction: what is next in the reconstructive ladder?

Plastic and reconstructive surgery·2001
Same author

Specificity of reinnervation and motor recovery after interposition of an artificial barrier between transected and repaired nerves in adjacency--an experimental study in the rat.

Acta neurochirurgica·2001

Functioning free-muscle transplantation (FFMT) offers a solution for severe upper-extremity injuries with muscle loss. This advanced technique successfully restored function in most patients, addressing motor deficits and deformities.

Area of Science:

  • Microsurgery
  • Reconstructive Surgery
  • Orthopedics

Background:

  • Severe upper-extremity injuries often result in significant functional muscle loss or denervation.
  • Lack of suitable local donor sites necessitates advanced reconstructive techniques.
  • Functioning free-muscle transplantation (FFMT) is a microneurovascular procedure for such cases.

Purpose of the Study:

  • To evaluate the efficacy of FFMT in patients with severe hand and upper-extremity injuries.
  • To assess functional outcomes following FFMT for various injury types.

Main Methods:

  • A retrospective review of 47 FFMTs performed between 1986 and 1994.
  • Patients had injuries including severe Volkmann's ischemia, crushing/traction injuries, and limb avulsion amputations.

Related Experiment Videos

  • FFMT was used to reconstruct major muscle loss or motor deficits without local donor options.

    • Main Results:

    • Fifteen FFMTs were performed for Volkmann's ischemia, 21 for crushing/traction injuries, and 11 for avulsion amputations.
    • FFMT addressed motor deficits and deformities when other options were unavailable.
    • The majority of patients experienced significant functional improvement.

    Conclusions:

    • FFMT is a viable and effective technique for restoring function in severe upper-extremity injuries with muscle loss.
    • It provides a crucial solution for complex cases where local tissue transfer is not feasible.
    • Successful functional restoration was observed in most patients undergoing FFMT.