Ikuta Y, Kubo T, Tsuge K
Plast Reconstr Surg. 1976 Oct;58(4):407-11. doi: 10.1097/00006534-197610000-00002.
In a free muscle transfer, great care must be taken in selecting the muscle to be grafted. We have found the pectoralis major to be a good donor muscle. Although most muscles are not nourished by a single artery and a few veins, the vessels which enter the pectoralis major muscle with the nerves are the main nutrient vessels, and these vessels alone can adequately nourish this muscle. Neurorrhaphy should be performed at a site as close as possible to the muscle. Good indications for free muscle transfer are cases in which a flexor muscle has become necrotic, while the extensor muscle is viable--for example, if the flexor muscle has sustained traumatic crushing injury or if there is a Volkmann's contracture.
在进行游离肌肉移植时，必须极其小心地选择要移植的肌肉。我们发现胸大肌是一种良好的供体肌肉。尽管大多数肌肉并非由单一动脉和少数静脉供血，但与神经一同进入胸大肌的血管是主要的营养血管，仅这些血管就能充分滋养该肌肉。神经缝合应在尽可能靠近肌肉的部位进行。游离肌肉移植的良好适应证是屈肌已坏死而伸肌仍存活的病例，例如屈肌遭受创伤性挤压伤或存在Volkmann挛缩的情况。
