Free functioning gracilis transfers for upper limb function reconstruction: report of 24 cases
XUE Yun-hao
WANG Shu-feng
CHEN Shan-lin
LI Peng-cheng
LI Wen-jun
YANG Yong
Abstract：Objective To summarize the experience of the free functioning gracilis transfers ( FFGT ). Methods Totally 24 cases of upper extremity function deficits were enrolled into this study and FFGT were performed to restore finger flexion in 11 cases, elbow and finger flexion in 12 cases, and elbow flexion and wrist extension in 1 case. Different donor nerves and vessels were chosen. Results In 22 cases the muscle flaps survived. Function restoration was observed in 21 cases but not in 1 case. Thrombosis occurred and was recognized in 2 cases on the second day after operation, then the patients were returned to the operating room for revision of the anastomosis and restoration of circulation. But severe ischemic damage to the muscle led to function loss. Conclusions FFGT is reserved for patients who have sustained a major loss of skeletal musculature in the upper extremity resulting in a significant functional deficit. FFGT is a complex procedure and demands high techniques. It is vital that when anastomosis happens and severe ischemic damage to the muscle can be expected even the restoration of circulation can be done. FFGT should not be used when simpler accepted techniques are available.
Keywords：MicrosurgeryUpper extremityMyocutaneous flapDigital flexor reconstructionElbow flexionExtensor functionIschemic contracture
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 262-265 )