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Hiroshima Journal of Medical Sciences 33 巻 4 号
1984-12 発行
Long Term Follow Up and Evaluation of Free Muscle Graft in the Upper Extremity
上肢における遊離筋肉移植の長期観察と評価
Ikuta Yoshikazu
Hatano Eiji
Yoshioka Kaoru
Abstract
A summary of the experimental and clinical evaluation of the long follow up cases which we have been doing from the past 8 years is reported.
In experimental study, it was demonstrated that in the muscle graft which includes vessel and nerve anastomoses, the recovery of muscular power can be achieved up to 60 to 80% to that of normal, and thus its application in treatment of Volkmann's contracture and paralysis of brachial plexus has been increased.
In clinical study, our conclusion is based on evaluation of the 5 successful cases in whom it was possible to make follow up examination for more than 2 years after operation. On clinical examinations, the contraction power of the grafted muscle were regained 30 to 75 % to that of normal; the total active motion of the fingers was increased on the average by 60 to 90 %, the grasping power for large objects increased much and it was used well in daily activities. However, as the fine delicate motion was not possible to achieve, this procedure is only one segment in the overall treatment of dysfunction of the limb. But it is felt that the procedure should be highly evaluated as a means for restoration of motion in those cases where all the measures had totally failed in the past.
In experimental study, it was demonstrated that in the muscle graft which includes vessel and nerve anastomoses, the recovery of muscular power can be achieved up to 60 to 80% to that of normal, and thus its application in treatment of Volkmann's contracture and paralysis of brachial plexus has been increased.
In clinical study, our conclusion is based on evaluation of the 5 successful cases in whom it was possible to make follow up examination for more than 2 years after operation. On clinical examinations, the contraction power of the grafted muscle were regained 30 to 75 % to that of normal; the total active motion of the fingers was increased on the average by 60 to 90 %, the grasping power for large objects increased much and it was used well in daily activities. However, as the fine delicate motion was not possible to achieve, this procedure is only one segment in the overall treatment of dysfunction of the limb. But it is felt that the procedure should be highly evaluated as a means for restoration of motion in those cases where all the measures had totally failed in the past.
About This Article
著者キーワード
Free Muscle Graft
Microsurgery
Other Article
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