DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT
Free functional muscle transfer for brachial plexus injury is one of the alternatives to repair the upper extremity function, where usually one type of muscle is used, the gracillis. The method of using two donor muscles to restore the motor function is worth considering for a better improvement of...
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Language: | English |
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Universitas Airlangga
2019-12-01
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Series: | Journal Orthopaedi and Traumatology Surabaya |
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Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/16577 |
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author | Heri Suroto Teddy Heri Wardhana Farindra Ridhalhi |
author_facet | Heri Suroto Teddy Heri Wardhana Farindra Ridhalhi |
author_sort | Heri Suroto |
collection | DOAJ |
description | Free functional muscle transfer for brachial plexus injury is one of the alternatives to repair the upper extremity function, where usually one type of muscle is used, the gracillis. The method of using two donor muscles to restore the motor function is worth considering for a better improvement of the quality. A 36 years old man with a complete left brachial plexus injury from C5-T1 due to motorcycle accident. A double free functional muscle transfer was performed using the gracillis muscle and the adductor longus muscle with the arterial source from the thoraco-acromial artery with the phrenic and accessory nerves. The gracillis muscle is used to flex the fingers while the adductor is used for flexing the elbow. A one year post-operative evaluation showed the patient was already capable of flexing his elbow with the muscle score of 3 and also the fingers with the muscle score of 1. The double free functional muscle transfer procedure is effective in achieving the moving function of both the elbow and the hand. |
format | Article |
id | doaj-art-ca167b01722449fcac736181d0b6dd32 |
institution | Kabale University |
issn | 2722-712X 2460-8742 |
language | English |
publishDate | 2019-12-01 |
publisher | Universitas Airlangga |
record_format | Article |
series | Journal Orthopaedi and Traumatology Surabaya |
spelling | doaj-art-ca167b01722449fcac736181d0b6dd322025-02-12T07:29:07ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422019-12-0181192410.20473/joints.v8i1.2019.19-2413527DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORTHeri Suroto0Teddy Heri Wardhana1Farindra Ridhalhi2Staff of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaStaff of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaResident of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga/Dr Soetomo General Hospital, SurabayaFree functional muscle transfer for brachial plexus injury is one of the alternatives to repair the upper extremity function, where usually one type of muscle is used, the gracillis. The method of using two donor muscles to restore the motor function is worth considering for a better improvement of the quality. A 36 years old man with a complete left brachial plexus injury from C5-T1 due to motorcycle accident. A double free functional muscle transfer was performed using the gracillis muscle and the adductor longus muscle with the arterial source from the thoraco-acromial artery with the phrenic and accessory nerves. The gracillis muscle is used to flex the fingers while the adductor is used for flexing the elbow. A one year post-operative evaluation showed the patient was already capable of flexing his elbow with the muscle score of 3 and also the fingers with the muscle score of 1. The double free functional muscle transfer procedure is effective in achieving the moving function of both the elbow and the hand.https://e-journal.unair.ac.id/JOINTS/article/view/16577brachial plexus injuryfree functional muscle transfer |
spellingShingle | Heri Suroto Teddy Heri Wardhana Farindra Ridhalhi DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT Journal Orthopaedi and Traumatology Surabaya brachial plexus injury free functional muscle transfer |
title | DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT |
title_full | DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT |
title_fullStr | DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT |
title_full_unstemmed | DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT |
title_short | DOUBLE FREE FUNCTIONING MUSCLE TRANSFERS FOR BRACHIAL PLEXUS INJURIES: A CASE REPORT |
title_sort | double free functioning muscle transfers for brachial plexus injuries a case report |
topic | brachial plexus injury free functional muscle transfer |
url | https://e-journal.unair.ac.id/JOINTS/article/view/16577 |
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