Restoration of elbow flexion after brachial plexus injury by free functional rectus femoris muscle transfer

2009 ◽  
Vol 62 (2) ◽  
pp. e1-e5 ◽  
Author(s):  
Gottfried Wechselberger ◽  
Heribert Hussl ◽  
Nina Strickner ◽  
Petra Pülzl ◽  
Thomas Schoeller
Author(s):  
Francisco Vilmar Felix Martins-Filho ◽  
Fernanda do Carmo Iwase ◽  
Gustavo Bersani Silva ◽  
Alvaro Baik Cho ◽  
Teng Hsiang Wei ◽  
...  

1994 ◽  
Vol 94 (3) ◽  
pp. 421-430 ◽  
Author(s):  
Isao Koshima ◽  
Takahiko Moriguchi ◽  
Shugo Soeda ◽  
Takaomi Hamanaka ◽  
Hitoshi Tanaka ◽  
...  

1997 ◽  
Vol 13 (03) ◽  
pp. 157-162 ◽  
Author(s):  
Isao Koshima ◽  
Naoto Umeda ◽  
Toru Handa ◽  
Takahiko Moriguchi ◽  
Yozo Orita

Microsurgery ◽  
2016 ◽  
Vol 37 (5) ◽  
pp. 377-382 ◽  
Author(s):  
Michael C. Nicoson ◽  
Michael J. Franco ◽  
Thomas H. Tung

Microsurgery ◽  
2004 ◽  
Vol 24 (6) ◽  
pp. 437-441 ◽  
Author(s):  
Gottfried Wechselberger ◽  
Maximilian Pichler ◽  
Petra Pülzl ◽  
Thomas Schoeller

2017 ◽  
Vol 42 (7) ◽  
pp. 693-699 ◽  
Author(s):  
S. M. Potter ◽  
S. I. Ferris

We compared outcomes of primary vascularized ulnar nerve grafts from the C5 root neurotizing biceps and brachialis muscles, and gracilis functioning free muscle transfer neurotized by the distal spinal accessory nerve, as a primary or salvage procedure after complete brachial plexus injury. At 45 months, three of eight primary vascularized ulnar nerve graft patients regained grade 4 elbow flexion, while one regained grade 3. All 13 primary gracilis transfer patients regained grade 4 elbow flexion. Four patients with vascularized ulnar nerve grafts failed and subsequently had salvage functioning free muscle transfer procedures resulting in delayed recovery. Although vascularized ulnar nerve graft-based primary reconstructions can provide useful elbow flexion, this was achieved in less than half the cases. We consider primary gracilis functioning free muscle transfer neurotized by the distal spinal accessory nerve as the most reliable reconstruction for the restoration of elbow flexion in complete brachial plexus injury. Level of evidence: IV


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