Free Gracilis Muscle Transplantation in Severe Volkmann's Contracture & Brachial Plexus Injury
10.4055/jkoa.1983.18.2.371
- Author:
Myung Chul YOO
;
Shin Hyeok KANG
;
Young Kwon KIM
;
Chung Soo HAN
- Publication Type:Original Article
- Keywords:
Free gracilis muscle transplantation;
Volkmanns contracture;
Brachial plexus injury
- MeSH:
Arm;
Brachial Plexus;
Contracture;
Elbow;
Fingers;
Forearm;
Hand;
Humans;
Methods;
Paralysis;
Wrist
- From:The Journal of the Korean Orthopaedic Association
1983;18(2):371-380
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Two patients with flexor paralysis of the elbow due to brachial plexus injury and three patients with flexor paralysis of the wrist and fingers due to Volkmann's contracture were treated by transplantation of the gracilis muscle which was detached at both ends and transferred to replace the biceps and long finger flexors, preserving its long and lax neurovascular pedicle. At eleven to fifteen months after operation, the strength and flexion of the elbow were satisfactory and the additional cosmetic effect was obtained. This method should be performed only after a complete study of the patient's general functional needs and the condition of the affected arm, forearm and hand.
