Frey M
Klinik für Wiederherstellungschirurgie, Universitätsspital Zürich, Schweiz.
Wien Klin Wochenschr. 1989 Jan 20;101(2):57-62.
Although investigated experimentally almost at the same time, free muscle transplantation without microvascular anastomoses was accepted as a clinical method earlier than muscle transplantation with microneurovascular anastomoses, which finally proved to be the method with better functional results in the late seventies. Our experimental investigations of different factors such as anoxemia, reinnervation, initial muscle tension, and of the functional capacity of this kind of muscle graft and of the time course of the alterations in the microsurgically vascularized muscle transplants influenced the operative concept for clinical application to a great extent. Besides general details of the operative technique, specific considerations with respect to the two main regions of clinical application namely the face and the extremities are presented.
尽管几乎在同一时间进行了实验研究，但无微血管吻合的游离肌肉移植作为一种临床方法，比有显微神经血管吻合的肌肉移植更早被接受，而后者最终在七十年代后期被证明是功能效果更好的方法。我们对诸如缺氧、再支配、初始肌肉张力等不同因素，以及这种肌肉移植的功能能力和显微外科血管化肌肉移植的变化时间进程进行的实验研究，在很大程度上影响了临床应用的手术理念。除了手术技术的一般细节外，还介绍了关于临床应用的两个主要区域即面部和四肢的具体考虑因素。
