Targeted Muscle Reinnervation and the Volar Forearm Filet Flap for Forequarter Amputation: Description of Operative Technique

Journal of Hand Surgery Global Online

卷:2

Martin I. Boyer, MD, MSc¹  Christopher J. Dy, MD, MPH²  Marie T. Morris, MD²  David M. Brogan, MD, MSc² 

[1] Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St Louis, MO;

[2] Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO;

关键词: Filet flap;    Forequarter amputation;    Targeted muscle reinnervation;    Upper extremity amputation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Targeted muscle reinnervation after upper-extremity amputation has demonstrated improved outcomes with myoelectric prosthesis function and postoperative neuropathic pain. This technique has been established in the setting of shoulder disarticulation as well as transhumeral and transradial amputations, but a detailed technique of targeted muscle reinnervation with free tissue transfer from the volar forearm after forequarter amputation has not yet been described. Here, we describe a technique using a volar forearm filet flap to achieve simultaneously satisfactory soft tissue coverage after resection of a tumor from the chest wall and targeted muscle reinnervation of the brachial plexus.

【 授权许可】

Unknown