Hosseinian Mohammad Ali, Tofigh Arash Mohammadi
Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Int J Surg. 2008 Apr;6(2):125-8. doi: 10.1016/j.ijsu.2008.01.004. Epub 2008 Jan 25.
In an eight year period, 12 patients were treated by the contra-lateral medial pectoral nerve as motor nerve innervation of the transplanted free gracilis muscle to the paralytic upper limb. The gracilis muscle was used for both elbow and digital flexion. Results were assessed by the MRC grading system and success was defined as muscle strength of M4 and M3 which was observed in seven patients (58%). The motor level of the muscle in two patients was M0 and in two it was M1 to M2. The donor pectoral muscle of these 12 patients showed no deficit in motor and sensory functions. This method can be used for treatment of brachial plexus palsy, regaining useful function of the reconstructed limb.
在八年期间，12例患者接受了将对侧胸内侧神经作为运动神经支配移植的游离股薄肌至麻痹上肢的治疗。股薄肌用于肘部和手指屈曲。结果通过医学研究委员会（MRC）分级系统进行评估，成功定义为7例患者（58%）观察到的M4和M3肌力。2例患者肌肉运动水平为M0，2例为M1至M2。这12例患者的供体胸肌在运动和感觉功能方面均无缺陷。该方法可用于治疗臂丛神经麻痹，恢复重建肢体的有用功能。
