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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Main Authors: Heri Suroto, Teddy Heri Wardhana, Farindra Ridhalhi
Format: Article
Language:English
Published: Universitas Airlangga 2019-12-01
Series:Journal Orthopaedi and Traumatology Surabaya
Subjects:
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.
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issn 2722-712X
2460-8742
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publishDate 2019-12-01
publisher Universitas Airlangga
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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
work_keys_str_mv AT herisuroto doublefreefunctioningmuscletransfersforbrachialplexusinjuriesacasereport
AT teddyheriwardhana doublefreefunctioningmuscletransfersforbrachialplexusinjuriesacasereport
AT farindraridhalhi doublefreefunctioningmuscletransfersforbrachialplexusinjuriesacasereport