Management of total paralysis of the brachial plexus by the double free-muscle transfer technique
Management of total paralysis of the brachial plexus by the double free-muscle transfer technique
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DOI：
10.1177/1753193408090140
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发表时间：
2008-06-01
影响因子：
1.8
通讯作者：
Doi, K.
中科院分区：
文献类型：
--
作者：
Doi, K.
双自由肌肉转移技术通过提供通用的抓握功能，在臂丛神经完全麻痹的治疗中实现了巨大的革命，尽管成功的自由肌肉转移、近端关节的稳定性和长时间的术后康复等几个要求对于该手术的成功是必要的。为了获得双自由肌转移的最佳结果，必须了解关键因素，即。供体肌肉的选择、细致的显微外科技术、近端关节稳定性的重要性、握力类型的选择和术后康复。双游离肌肉移植不是简单的用于手指运动的显微外科肌肉移植，而是一种通用的上肢完全瘫痪重建手术。
The double free-muscle transfer technique achieved a dramatic revolution in the treatment of total paralysis of the brachial plexus by providing universal prehensile function, although several requirements such as successful free-muscle transfers, stability of the proximal joints and prolonged postoperative rehabilitation are necessary for the success of this procedure. To obtain the best outcome of double free-muscle transfer, it is imperative to understand the key factors, viz. selection of the donor muscle, meticulous microsurgical technique, importance of proximal joint stability, selection of the kind of grip and postoperative rehabilitation. Double free-muscle transfer is not a simple microsurgical muscle transfer for finger movement, but a universal reconstructive procedure for total paralysis of the upper limb.