title: Functioning free gracilis transfer to reconstruct elbow flexion and quality of life in global brachial plexus injured patients.
abstract: In the study, the functional recovery and relative comprehensive quality of life of cases of global brachial plexus treated with free functioning muscle transfers were investigated. Patients who received functioning gracilis muscle transfer between August 1999 and October 2014 to reconstruct elbow flexion, wrist and fingers extension were recruited. The mean age of the patients was 26.36 (range, 16-42) years. The mean period of time from gracilis transfer to the last follow-up was 54.5 months (range, 12-185 months). Muscle power, active range of motion of the elbow flexion, wrist extension, and total active fingers extension were recorded. SDS, SAS and DASH questionnaires were given to estimate patients' quality of life. 35.71% reported good elbow flexion and 50.00% reported excellent elbow flexion. The average ROM of the elbow flexion was 106.5° (range, 0-142°) and was 17.00° (range, 0-72°) for wrist extension. The average DASH score was 51.14 (range, 17.5-90.8). The prevalence of anxiety and depression were 42.86% and 45.24%. Thrombosis and bowstringing were the most common short and long-term complications. Based on these findings, free gracilis transfer using accessory nerve as donor nerve is a satisfactory treatment to reconstruct the elbow flexion and wrist extension in global-brachial-plexus-injured patients.
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Jian-Tao
authors.initials: JT
authors.lastname: Yang
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Guo
authors.initials: G
authors.lastname: Fu
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.|Department of Orthopedic Surgery, the First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, China.
authors.forename: Xiang-Ming
authors.initials: XM
authors.lastname: Li
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Ben-Gang
authors.initials: BG
authors.lastname: Qin
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Hou
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Qi
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Li
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Xiao-Lin
authors.initials: XL
authors.lastname: Liu
authors.affiliation: Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China.
authors.forename: Li-Qiang
authors.initials: LQ
authors.lastname: Gu
mesh_terms: D000293:Adolescent; D000328:Adult; D001917:Brachial Plexus / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D004550:Elbow / Q000503:physiopathology / Q000601:surgery; D005260:Female; D000071976:Gracilis Muscle / Q000503:physiopathology / Q000637:transplantation; D006801:Humans; D008297:Male; D011788:Quality of Life; D014182:Transplantation, Autologous