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FREE MUSCLE TRANSFER
Author(s) -
Ikuta Yoshikazu,
Yoshioka Kaoru,
Tsuge Kenya
Publication year - 1980
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1980.tb04149.x
Subject(s) - medicine , brachial plexus , surgery , intercostal nerves , paralysis , forearm , contracture , poliomyelitis , brachial plexus injury , plexus , anatomy , intercostal muscle , virology , respiratory system
Eight cases of free muscle transfer with the use of microsurgical technique are reported, comprising five patients with Volkmann's contracture of the forearm, two with poliomyelitis, and one with an old brachial plexus injury. Operation was successful in the six patients with traumatic injuries, but proved unsuccessful in the two with poliomyelitis. Generally, the vessels and nerves of the recipient site were anastomosed with their counterparts in the grafted muscle. In one patient with an old brachial plexus paralysis in whom nerves in the recipient site could not be used, muscle graft and intercostal nerve transfer procedures were employed. In six cases, only muscle was transferred, and in two cases, the muscle together with an overlying skin flap was removed to reduce tension of the skin at the recipient site.