Bishop Allen T
Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Hand Clin. 2005 Feb;21(1):91-102. doi: 10.1016/j.hcl.2004.10.005.
Functioning free-muscle transfers are now an important, even essential, tool in the current management of patients with brachial plexus injury. They are indicated for the restoration of elbow flexion in patients who delay presentation(those seen after 6 to 9 mo). Double free-muscle transfers provide the possibility of simple grasp function when combined with nerve transfers or grafts for restoration of shoulder motion, hand sensation, and triceps function.
功能性游离肌肉移植如今已成为当前治疗臂丛神经损伤患者的一项重要甚至必不可少的手段。对于就诊延迟的患者(6至9个月后就诊者),该方法适用于恢复其肘关节屈曲功能。当与用于恢复肩部活动、手部感觉及肱三头肌功能的神经移植或神经吻合术联合使用时,双游离肌肉移植可为实现简单抓握功能提供可能。