O'Brien B M, Morrison W A, MacLeod A M, Weiglein O
Ann Plast Surg. 1982 Nov;9(5):381-91. doi: 10.1097/00000637-198211000-00005.
The experience gained in a series of 7 free microneurovascular muscle transfers to the limbs over a seven-year period has led us to conclude that: free gracilis microneurovascular flaps can be safely transferred and can aid restoration of movement following severe injuries of the limbs, including post-replantation cases; inclusion of a cutaneous island with the muscle is safe, improves cover, and simplifies closure following muscle transfer; tendon adhesions and joint stiffness are the greatest obstacles to transferred muscle function, and early passive extension is recommended; additional procedures are usually required after muscle transfer, to improve the level of function; and additional experimental work is required to determine methods of establishing the correct resting tension in transferred muscles.
在七年时间里对7例肢体进行游离显微神经血管肌肉移植的经验使我们得出以下结论：游离股薄肌显微神经血管皮瓣可安全移植，有助于严重肢体损伤（包括再植术后病例）后运动功能的恢复；肌肉带皮岛移植安全，可改善覆盖并简化肌肉移植后的伤口闭合；肌腱粘连和关节僵硬是移植肌肉功能的最大障碍，建议早期进行被动伸展；肌肉移植后通常需要额外的手术来改善功能水平；还需要更多的实验研究来确定建立移植肌肉正确静息张力的方法。
