title: [Pulley for strengthening a muscle replacement operation across two joints in brachial plexus lesion: description of the surgical technique].
abstract: The reconstruction of lost muscle functions in cases of brachial plexus lesion is possible even in those cases where primary nerve reconstruction was not performed or unsuccessful. If there are only few motor nerves available, we prefer free latissimus dorsi transplantation or pedicled latissimus dorsi transposition for replacement of biceps and finger flexors. The combination of elbow flexion and finger flexion becomes possible when the transposed motor is passed around a suitable pulley in the elbow region like the flexor carpi ulnaris or carpi radialis.
authors.affiliation: Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinischen Hochschule Hannover, Oststadt-Krankenhaus.
authors.forename: A
authors.initials: A
authors.lastname: Berger
authors.forename: E
authors.initials: E
authors.lastname: Schaller
authors.forename: M H
authors.initials: MH
authors.lastname: Becker
mesh_terms: D000328:Adult; D001917:Brachial Plexus / Q000293:injuries*; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D009048:Motor Skills / Q000502:physiology; D009119:Muscle Contraction / Q000502:physiology*; D009132:Muscles / Q000637:transplantation*; D026741:Physical Therapy Modalities / Q000295:instrumentation*; D012086:Reoperation; D013709:Tendon Transfer / Q000379:methods*
vernacular_title: Pulley zur Verstärkung einer Muskelersatzoperation über zwei Gelenke bei Plexus brachialis-Läsionen: Beschreibung der Operationstechnik.