期刊
JOURNAL OF HAND SURGERY-AMERICAN VOLUME
卷 38A, 期 12, 页码 2485-2490出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.jhsa.2013.03.041
关键词
Free muscle transfer; brachial plexus; functional; injury; outcome; review
Free functional muscle transfer (FFMT) replaces destroyed, denervated, or resected skeletal muscle units in the upper extremity with functioning skeletal muscle from other locations in the body. Common indications for FFMT include brachial plexus injuries, ischemic contracture, tumor resection, and extensive direct muscle trauma. Recent studies have focused on improving patient outcomes through refinements in muscle flap harvest and inset, donor nerve selection, and postoperative management. In this review, we assess and summarize the current literature on FFMT, with emphasis on etiopathogenesis, diagnosis, treatment, postoperative management, and clinical outcomes. (Copyright (C) 2013 by the American Society for Surgery of the Hand. All rights reserved.)
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