Form and Function: Technique for Free Functional Gracilis Harvest With Greater Saphenous Vein for Large Skin Paddle.
| Autor: | Graf A; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA., Ojemakinde A; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA., Gupta S; Department of Orthopeadic Surgery, University of Pennsylvania Health System., Zelenski NA; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA., Levin LS; Department of Orthopeadic Surgery, University of Pennsylvania Health System.; Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, Philadelphia, PA. |
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| Jazyk: | angličtina |
| Zdroj: | Techniques in hand & upper extremity surgery [Tech Hand Up Extrem Surg] 2023 Sep 01; Vol. 27 (3), pp. 194-198. Date of Electronic Publication: 2023 Sep 01. |
| DOI: | 10.1097/BTH.0000000000000437 |
| Abstrakt: | Free functional gracilis transfer is a technique for restoration of upper extremity function following brachial plexus injury, as well as muscle loss from traumatic, oncologic, and congenital causes. However, when used for the latter applications, a functional muscle as well as large skin paddle can be required. Historically, skin paddle size was limited by venous outflow of the gracilis flap, using 1 or 2 venae comitantes, and large unreliable skin paddles resulting in partial necrosis. Therefore, to restore form and function, we herein present a technique of free functional gracilis muscle harvest with inclusion of adjacent greater saphenous vein for inclusion of a large skin paddle with 2 venous drainage systems. Competing Interests: Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding. (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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