Chuang D C, Chen H C, Wei F C, Noordhoff M S
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1992 Feb;89(2):335-9. doi: 10.1097/00006534-199202000-00024.
The functioning free-muscle transfer is a microneurovascular technique that has proven effective for patients who have a major muscle or muscle group loss for which no other less complicated procedures are available. A new functioning muscle (lateral half of the soleus) transfer was used for forearm reconstruction. This functioning muscle can be transferred alone, or it can be used with overlying skin or nearby fibular bone or both. It was used in a selective complicated case in which not only were major functional muscles lost, but a bone deficiency and skin loss also were seen. The operation was done in one stage with the composite flap (muscle plus bone plus skin). The recovered transferred muscle provided adequate strength and excursion for a functional hand and forearm.
功能性游离肌肉移植是一种显微神经血管技术，已被证明对那些主要肌肉或肌肉群缺失且没有其他较简单手术可用的患者有效。一种新的功能性肌肉（比目鱼肌外侧半）移植被用于前臂重建。这种功能性肌肉可以单独移植，也可以与覆盖的皮肤或附近的腓骨或两者一起使用。它被用于一个选择性的复杂病例，其中不仅主要的功能性肌肉缺失，还存在骨缺损和皮肤缺失。手术采用复合组织瓣（肌肉加骨加皮肤）一期完成。移植后恢复的肌肉为功能性手部和前臂提供了足够的力量和活动度。
