Krauss Emily M, Tung Thomas H, Moore Amy M
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, Saint Louis, MO 63110, USA.
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8238, Saint Louis, MO 63110, USA.
Hand Clin. 2016 May;32(2):243-56. doi: 10.1016/j.hcl.2015.12.010.
Free functional muscle transfer provides an option for functional restoration when nerve reconstruction and tendon transfers are not feasible. To ensure a successful outcome, many factors need to be optimized, including proper patient selection, timing of intervention, donor muscle and motor nerve selection, optimal microneurovascular technique and tension setting, proper postoperative management, and appropriate rehabilitation. Functional outcomes of various applications to the upper extremity and the authors' algorithm for the use of free functional muscle transfer are also included in this article.
当神经重建和肌腱转移不可行时，游离功能性肌肉移植为功能恢复提供了一种选择。为确保取得成功的结果，需要优化许多因素，包括合适的患者选择、干预时机、供体肌肉和运动神经选择、最佳的显微神经血管技术和张力设定、适当的术后管理以及恰当的康复治疗。本文还包括了游离功能性肌肉移植在各种上肢应用中的功能结果以及作者使用游离功能性肌肉移植的算法。
