Role of free functioning muscle transfer in improving the functional outcomes following replantation of crush avulsion amputations of the forearm
| Autor: | Praveen Bhardwaj, S. Raja Sabapathy, Hari Venkatramani |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Tendon Transfer Tendons Avulsion 03 medical and health sciences 0302 clinical medicine Amputation Traumatic Forearm Proximal third medicine Humans Range of Motion Articular General Environmental Science 030222 orthopedics business.industry Functioning muscle Forearm Injuries 030208 emergency & critical care medicine Middle Aged Plastic Surgery Procedures Surgery Tendon body regions Treatment Outcome medicine.anatomical_structure Amputation Gracilis Muscle Replantation Feasibility Studies General Earth and Planetary Sciences Upper limb Female business Follow-Up Studies |
| Zdroj: | Injury. 50:S105-S110 |
| ISSN: | 0020-1383 |
| Popis: | Replantation still remains the best form of reconstruction following major upper limb amputations. Regaining a functional limb is a challenge in avulsion amputations when there is entire loss of a compartment as it happens in proximal third of forearm amputations or when the avulsion occurs through the musculotendinous junction. In these circumstances, primary repair of the long flexors or extensors is not possible and options of secondary tendon transfers do not exist due to lack of donor tendons. These factors could weigh in negatively in making the decision for replantation at the time of presentation. We are presenting a series of 5 cases of avulsion amputation of the forearm wherein the functional outcome was enhanced by secondary Free Functional Muscle transfers (FFMT) using gracilis for finger flexion. Outcome scores improved from Chen IV to II in three patients and to III in two patients. The feasibility of gaining useful outcome through secondary procedures like FFMT should serve as an encouragement to extend the indications for replantation in avulsion amputations of the forearm. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect