Basic science behind functioning free muscle transplantation.
Free muscle transfer is now a feasible procedure in several fields of reconstructive surgery. In this article, basic science behind clinical free muscle transfer, including essential aspects like donor muscle selection (type of blood supply, architecture of fibers, fiber length, and muscle volume), donor nerve selection, placement and routing of muscle, tension of muscle at suturing, postoperative monitoring of muscle circulation, postoperative reinnervation, and rehabilitation are discussed in detail.
Doi
Kazuteru
K
Department of Orthopedic Surgery, Ogori Daiichi General Hospital, 862-3 Shimogamo, Ogori, Yamaguchi-ken 754-0002, Japan. doimac@ca.mbn.or.jp
Hattori
Yasunori
Y
Tan
Soo-Heong
SH
Dhawan
Vikas
V
D005158:Facial Paralysis / Q000601:surgery*; D006801:Humans; D018485:Muscle Fibers, Skeletal / Q000637:transplantation; D018482:Muscle, Skeletal / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply