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Gracilis muscle anatomy as related to function of a free functioning muscle transplant

✍ Scribed by Dr. N. H. McKee; J. S. Fish; R. T. Manktelow; G. V. McAvoy; S. Young; R. M. Zuker

Publisher: John Wiley and Sons
Year: 1990
Tongue: English
Weight: 361 KB
Volume: 3
Category: Article
ISSN: 0897-3806
DOI: 10.1002/ca.980030202

No coin nor oath required. For personal study only.

✦ Synopsis

The purpose of this study was to establish the potential of the gracilis muscle to provide separate but controlled movement (e.g., independent finger flexion) when used as a free muscle transfer. The intramuscular neurovascular anatomy was studied in cadavers and in vitro. Through injection, dissection, and stimulation studies, it has been established that the distal gracilis can be separated longitudinally into at least two viable parts with independent neural control. This potential has been realized in ten clinical cases in which some separation of thumb and finger function has been achieved.

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