Free Functional Muscle Transfer following Upper Extremity Sarcoma Resection: A Case Report

Functional reconstruction of the upper extremity has traditionally involved tendon transfer or pedicled muscle transfer. The gracilis free functional muscle transfer remains as an excellent option for restoration of finger flexion. Here, we provide a case report of a 35-year-old man diagnosed with l...

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Detalles Bibliográficos
Autores principales: Bitoiu, Brendon, Grigor, Emma, Abdelbary, Hesham, Cormier, Nicholas S., Zhang, Jing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Reconstructive
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187175/
https://www.ncbi.nlm.nih.gov/pubmed/35702362
http://dx.doi.org/10.1097/GOX.0000000000004367
Descripción
Sumario:Functional reconstruction of the upper extremity has traditionally involved tendon transfer or pedicled muscle transfer. The gracilis free functional muscle transfer remains as an excellent option for restoration of finger flexion. Here, we provide a case report of a 35-year-old man diagnosed with left forearm high-grade epithelioid sarcoma who underwent innervated free gracilis transfer and a secondary free flap, the profunda artery perforator flap, through a single donor-site incision to expand soft tissue coverage. Postoperatively, there were no complications reported. At 8-month follow-up, the patient had Musculoskeletal Tumor Score of 22/30, and a Quick Disabilities of the Arm, Shoulder, and Hand score of 34/100.

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