Functioning Free Muscle Transplantation to Restore Finger Movement for Sequalae of Volkmann Ischemic Contracture.

Hand Clin

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei - Linkou, No. 5, Fuxing Street, Guishan District, Taoyuan City 333, Taiwan. Electronic address:

Published: May 2024

Volkmann ischemic contracture (VIC) is a devastating condition that results from neglected compartment syndrome, which leads to prolonged ischemia, irreversible tissue necrosis, and various degrees of muscle and nerve damage, causing serious motor and sensory functional implications for the limb and a spectrum of diseases associated with worsening deformities. A thorough understanding of the anatomy and VIC pathophysiology is needed to plan an appropriate strategy. Functioning free muscle transplantation (FFMT) can restore finger movement in a paralyzed limb but requires a three-staged approach to maximize the benefits of FFMT, leading to meaningful finger extrinsic function.

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http://dx.doi.org/10.1016/j.hcl.2023.08.012DOI Listing

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