430 results match your criteria Tissue Transfer Gracilis


Microsurgical Reconstruction of the Lower Extremity.

Semin Plast Surg 2019 Feb 8;33(1):54-58. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Read More

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http://dx.doi.org/10.1055/s-0039-1677878DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408237PMC
February 2019
2 Reads

Free Tissue Transfer for Upper Extremity Reconstruction.

Semin Plast Surg 2019 Feb 8;33(1):17-23. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677702
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http://dx.doi.org/10.1055/s-0039-1677702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408247PMC
February 2019
4 Reads

Functional outcomes of traumatic lower extremity reconstruction.

J Clin Orthop Trauma 2019 Jan-Feb;10(1):178-181. Epub 2017 Aug 24.

Department of Plastic Surgery, Los Angeles County + University of Southern California Medical Center, 1983 Marengo St, Los Angeles, CA 90033, United States.

Background: Lower extremity trauma accounts for over 300,000 injuries annually. While soft tissue transfer is a well-accepted practice for open fracture coverage, functional outcomes remain unclear.

Hypothesis: This study investigates functional outcomes following soft tissue reconstruction for open tibial fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09765662173040
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http://dx.doi.org/10.1016/j.jcot.2017.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349574PMC
August 2017
5 Reads

Microvascular reconstruction of pediatric lower extremity trauma using free tissue transfer.

Eur J Orthop Surg Traumatol 2019 Feb 16;29(2):285-293. Epub 2019 Jan 16.

Department of Plastic Surgery, University of Tennessee Health Science Center (UTHSC), 1068 Cresthaven Road Suite 500, Memphis, TN, 38119, USA.

While free tissue transfer has long been established as a reliable microsurgical technique in the adult population, its application in pediatric reconstruction is a relatively recent phenomenon. Despite initial concerns regarding minute vessel diameters, increased propensity for vasospasm, and limited tissue availability, pediatric free tissue transfer is now a widely used technique that has demonstrated an acceptable level of donor and recipient site morbidity in children. Five flaps commonly used in the reconstruction of lower extremity trauma are discussed in this paper: the latissimus dorsi, rectus abdominis, anterolateral thigh, gracilis, and the subscapular and parascapular flaps. Read More

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http://dx.doi.org/10.1007/s00590-019-02367-wDOI Listing
February 2019

Closed Loop Microfabricated Facial Reanimation Device Coupling EMG-Driven Facial Nerve Stimulation with a Chronically Implanted Multichannel Cuff Electrode.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:2206-2209

Permanent facial paralysis and paresis (FP) results from damage to the facial nerve (FN), and is a debilitating condition with substantial functional and psychological consequences for the patient. Unfortunately, surgeons have few tools with which they can satisfactorily reanimate the face. Current strategies employ static (e. Read More

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http://dx.doi.org/10.1109/EMBC.2018.8512778DOI Listing
July 2018
1 Read

Management of Bilateral Facial Palsy.

Otolaryngol Clin North Am 2018 Dec 27;51(6):1213-1226. Epub 2018 Aug 27.

Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. Electronic address:

Bilateral facial paralysis is a rare entity that occurs in both pediatric and adult patients and can have congenital or acquired causes. When paralysis does not resolve with conservative or medical management, surgical intervention may be indicated. This article presents the authors' preferred technique for facial reanimation in patients with bilateral congenital facial paralysis. Read More

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http://dx.doi.org/10.1016/j.otc.2018.07.014DOI Listing
December 2018
12 Reads

Free Gracilis Transfer and Static Facial Suspension for Midfacial Reanimation in Long-Standing Flaccid Facial Palsy.

Otolaryngol Clin North Am 2018 Dec 10;51(6):1129-1139. Epub 2018 Aug 10.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.

This article presents an approach to reanimation of the midface in long-standing flaccid facial palsy by means of functional free gracilis transfer and static facial suspension. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00306665183013
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http://dx.doi.org/10.1016/j.otc.2018.07.009DOI Listing
December 2018
10 Reads

Surgical Refinement Following Free Gracilis Transfer for Smile Reanimation.

Ann Plast Surg 2018 Sep;81(3):329-334

From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA. Conflicts of interest and sources of funding: none declared.

Importance: Gracilis free muscle transfer is widely regarded as the gold standard functional smile reanimation in long-standing facial palsy. Although most patients achieve meaningful oral commissure movement, a subset has suboptimal aesthetic outcomes due to midfacial bulk or oral commissure malposition. Safe refinements that do not compromise excursion would be a welcome addition to the surgical armamentarium for this population. Read More

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http://Insights.ovid.com/crossref?an=00000637-201809000-0001
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http://dx.doi.org/10.1097/SAP.0000000000001545DOI Listing
September 2018
17 Reads

The Gracilis Free Flap Is a Viable Option for Large Extremity Wounds.

Ann Plast Surg 2018 Sep;81(3):322-326

Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Traditionally, the gracilis free flap is used for coverage of small- to medium-sized wounds (<50 cm) or as a functional muscle transfer. The purpose of this study is to examine the use of the gracilis free flap in the reconstruction of large extremity wounds (>100 cm).

Methods: We retrospectively reviewed records of 34 patients who underwent extremity soft-tissue reconstruction using gracilis free flaps for wounds larger than 100 cm from 1998 to 2016. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001523DOI Listing
September 2018
5 Reads

Skin Paddles Improve Muscle Flap Salvage Rates After Microvascular Compromise in Lower Extremity Reconstruction.

Ann Plast Surg 2018 Jul;81(1):68-70

From the Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY.

Purpose: Free tissue transfer after lower extremity trauma is associated with notoriously high complication rates. Theoretically, the inclusion of a cutaneous paddle on muscle free flaps may improve clinical flap monitoring. The effect of skin paddle presence on muscle free flap salvage outcomes after take-back was examined. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9739
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http://dx.doi.org/10.1097/SAP.0000000000001425DOI Listing
July 2018
10 Reads

Successful limb salvage through staged bypass combined with free gracilis muscle transfer for critical limb ischemia with osteomyelitis after failed endovascular therapy.

Surg Case Rep 2018 May 2;4(1):40. Epub 2018 May 2.

Department of Vascular Surgery, Asahikawa Medical University, 1-1-1, Midorigaoka-higashi-2jyo, Asahikawa, 078-8510, Japan.

Background: Critical limb ischemia with osteomyelitis is so difficult to treat that even appropriate revascularization and wound therapy cannot achieve limb salvage because of uncontrollable infection. It is still difficult to judge the possibility of limb salvage before revascularization.

Case Presentation: A 73-year-old male complained of a small ulcer on his left toe, which was treated with multiple endovascular therapy. Read More

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http://dx.doi.org/10.1186/s40792-018-0449-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930295PMC
May 2018
3 Reads

Incomplete Facial Paralysis: The Use of the Ipsilateral Residual Facial Nerve as a Donor Nerve for Facial Reanimation.

Plast Reconstr Surg 2018 07;142(1):202-214

Tel Aviv, Israel; and Toronto, Ontario, Canada From the Department of Plastic and Reconstructive Surgery, Microsurgery Unit, Tel Aviv Sourasky Medical Center affiliated with the Sackler Faculty of Medicine, Tel Aviv University; and the Division of Plastic Surgery, The Hospital for Sick Children, University of Toronto.

Background: The reconstructive approach for incomplete facial paralysis is not yet determined. In this article, the authors present a new surgical approach for patients with incomplete facial paralysis in which residual, ineffective movement is detected preoperatively in the ipsilateral buccozygomatic territory of the paretic facial nerve.

Methods: Sixteen patients with incomplete facial paralysis were found eligible for the procedure and underwent one-stage facial reanimation performed by the senior author (E. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004536DOI Listing
July 2018
7 Reads

Comparison of symmetry after smile reconstruction for flaccid facial paralysis with combined fascia lata grafts and functional gracilis transfer for static suspension or gracilis transfer alone.

Microsurgery 2018 Sep 30;38(6):634-642. Epub 2018 Mar 30.

Department of Plastic and Hand Surgery, Medical Center, University of Freiburg, Faculty of Medicine, University of Freiburg, Germany.

Purpose: Facial paralysis has a profound impact on functionality and esthetics of the oral region. In patients with strong skin laxity and soft tissue ptosis, functional smile reconstruction is challenging due to the accentuated asymmetry at rest. Thus, the purpose of the study was to analyze facial symmetry in this patient clientele following a combination of dynamic reanimation with fascial strips for static suspension compared to functional gracilis transfer alone. Read More

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http://dx.doi.org/10.1002/micr.30324DOI Listing
September 2018
2 Reads

The Distal Stump of the Intramuscular Motor Branch of the Obturator Nerve Is Useful for the Reconstruction of Long-Standing Facial Paralysis Using a Double-Powered Free Gracilis Muscle Flap Transfer.

J Craniofac Surg 2018 Mar;29(2):476-481

Department of Plastic Surgery, Faculty of Medicine, Oita University, Oita, Japan.

Background: Double innervation of the transferred muscle with the contralateral facial nerve and the ipsilateral masseteric nerve has recently been reported by some authors. The aim of this study was to assess the utility of our procedure of double innervation of free gracilis muscle for reconstruction of long-standing facial palsy.

Patients And Methods: In our department, 6 cases of long-standing facial paralysis (4 cases of complete palsy and 2 of incomplete palsy) were reconstructed using a free gracilis muscle double innervated with the masseteric and contralateral facial nerves. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004064DOI Listing
March 2018
1 Read

Free flaps for head and neck cancer in paediatric and neonatal patients.

Curr Opin Otolaryngol Head Neck Surg 2018 Apr;26(2):127-133

Department of Oral and Maxillofacial Surgery, Queen Elizabeth Hospital, Birmingham, West Midlands, UK.

Purpose Of Review: To review recent literature on the subject of free tissue transfer options in paediatric head and neck surgery, with a particular emphasis on highlighting the advantages and disadvantages of different reconstructions in the paediatric patient.

Recent Findings: Free tissue transfer in paediatric patients is predictable and applicable for a wide range of congenital and acquired defects in the head and neck. The free fibula flap is a mainstay of mandibular reconstruction and allows excellent implant-supported prosthodontic rehabilitation and growth potential at the recipient site with little or no donor site morbidity. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000434DOI Listing
April 2018
6 Reads

Transfer of a Radial Nerve Branch to the Brachialis Nerve for Restoration of Elbow Flexion.

Tech Hand Up Extrem Surg 2018 Jun;22(2):65-67

MetroHealth Medical Center, Cleveland, OH.

Nerve transfers for brachial plexus reconstruction and the treatment of peripheral nerve injury have demonstrated excellent clinical outcomes and may be superior to nerve grafting. Previously described nerve transfers for restoration of elbow flexion include the Oberlin (ulnar to musculocutaneous) and double fasicular (median to biceps and ulnar to brachialis) transfers. However, these transfers cannot be performed in patients with loss of elbow flexion and concomitant high median and ulnar nerve injury. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000186DOI Listing
June 2018
3 Reads

Reconstructive microsurgical approach for the treatment of pyoderma gangrenosum.

J Plast Reconstr Aesthet Surg 2018 Jan 16;71(1):44-52. Epub 2017 Aug 16.

Department of Plastic, Aesthetic and Reconstructive Surgery, Hospital Barmherzige Brüder Salzburg, Paracelsus Medical University (PMU), Kajetanerplatz 1, 5020, Salzburg, Austria.

Introduction: Pyoderma gangrenosum (PG) is a rare type of autoimmune disease that results in progressive ulcers with or without previous trauma. However, PG is not well understood to date, and its treatment therefore remains a challenge. Because of the disease's systemic characteristic and the unpredictability of the clinical course, no gold standard treatment is available, especially concerning the surgical procedures to treat pyodermic lesions. Read More

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http://dx.doi.org/10.1016/j.bjps.2017.08.013DOI Listing
January 2018
11 Reads

Primary facial reanimation in head and neck cancer.

Oral Oncol 2017 11 12;74:171-180. Epub 2017 Sep 12.

Department of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada. Electronic address:

Facial Paralysis (FP) profoundly impairs the life of individuals, both functionally and psychosocially. Surgical approaches to treat this condition are myriad, but the ultimate goal is to restore symmetry and movement. Ablative surgery for tumors of the head and neck region are amongst the most common etiologies causing FP and this group of patients represents unique challenges. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2017.08.013DOI Listing
November 2017
5 Reads

Modified adductor sling technique: A surgical therapy for patellar instability in skeletally immature patients.

Knee 2017 Dec 1;24(6):1282-1288. Epub 2017 Sep 1.

Department of Trauma and Reconstructive Surgery with Division of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany.

Background: Due to open femoral physis the therapy of patellar instability in skeletally immature patients is challenging. We developed a modified surgical technique of the 'Adductor-Sling-Approach' by Sillanpää. The purpose of this study was to evaluate the clinical outcome of the operative technique and to analyse the reasons for failure. Read More

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http://dx.doi.org/10.1016/j.knee.2017.08.051DOI Listing
December 2017
21 Reads

Salvage of postcranioplasty implant exposure using free tissue transfer.

Head Neck 2017 08 17;39(8):1655-1661. Epub 2017 May 17.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.

Background: Refractory implant exposure is frustrating after cranioplasty. The purpose of this study was for the authors to present their experience with free tissue transfer for salvage of postcranioplasty implant exposure.

Methods: A retrospective medical chart review was conducted on all free tissue transfers performed for exposed implant coverage after cranioplasty between January 2004 and February 2016. Read More

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http://dx.doi.org/10.1002/hed.24813DOI Listing
August 2017
30 Reads

Rectus Abdominis Motor Nerves as Donor Option for Free Functional Muscle Transfer: A Cadaver Study and Case Series.

Hand (N Y) 2018 Mar 7;13(2):150-155. Epub 2017 Apr 7.

1 Washington University School of Medicine, St Louis, MO, USA.

Background: Current management of brachial plexus injuries includes nerve grafts and nerve transfers. However, in cases of late presentation or pan plexus injuries, free functional muscle transfers are an option to restore function. The purpose of our study was to describe and evaluate the rectus abdominis motor nerves histomorphologically and functionally as a donor nerve option for free functional muscle transfer for the reconstruction of brachial plexus injuries. Read More

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http://dx.doi.org/10.1177/1558944717702467DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950971PMC

Microsurgical Tissue Transfer in Breast Reconstruction.

Clin Plast Surg 2017 Apr 13;44(2):345-359. Epub 2017 Feb 13.

St. Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Court Road, Chelmsford, Essex CM1 7ET, UK.

Autologous breast reconstructions have grown in popularity because of their durability, aesthetic outcomes, symmetry, increase in external beam radiotherapy use, and potential aesthetic enhancement at the donor site. Increasing patient expectations for predictable high aesthetic outcomes with minimal complications or need for further procedures has been met by refinement in the use of flaps. The authors' microsurgical breast reconstruction center aims to provide this while delivering efficient service. Read More

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http://dx.doi.org/10.1016/j.cps.2016.12.002DOI Listing
April 2017
2 Reads

Severe Crush Injury to the Forearm and Hand: The Role of Microsurgery.

Clin Plast Surg 2017 Apr 1;44(2):233-255. Epub 2017 Feb 1.

Instituto de Cirugía Plástica y de la Mano, Private Practice, Hospital La Luz and Hospital Mutua Montañesa, Madrid/Santander, Spain; Department of Traumatology and Orthopedics, Clinical Hospital, Warsaw, Otwock, Poland.

The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors' experience, the most ideal methods for soft tissue coverage in treating crush injuries are the iliac flap, the adipofascial lateral arm flap, and the gracilis flap. Accompanying bone defects respond very well to free corticoperiosteal flaps. Read More

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http://dx.doi.org/10.1016/j.cps.2016.11.002DOI Listing
April 2017
3 Reads

[Thinning of the free muscle flaps for the treatment of hand and foot defects].

Zhonghua Zheng Xing Wai Ke Za Zhi 2017 Mar;33(2):112-5

Objective: To investigate the feasibility of one-stage thinning of latissimus dorsi muscle, rectus abdominis muscle and gracilis flap in reconstruction of the hand and foot defects.

Methods: From June 2009 to April 2015,24 free muscle flaps were thinned during transfer operation by removing their superficial muscle layers on the basis of their vessel pedicles running in the deep surface of flaps. The surface of the muscle flaps were covered by split-thickness skin grafts. Read More

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Analysis of a Surgical Treatment for Persistent Urorectal Fistulas after Radical Cancer Surgery: A Comparison of Prostate Cancer and Rectal Cancer.

Urol Int 2017 24;99(1):56-62. Epub 2017 Feb 24.

Department of Urology, National Cancer Center Hospital East, Kashiwa, Japan.

Introduction: The study aimed to present our experience of surgical treatment for urorectal fistulas (URF) that develop after cancer surgery.

Materials And Methods: Fourteen patients with URF who were treated at our institution from 2005 through 2015 were retrospectively analyzed. Among these, 7 patients had previous surgical treatment of prostate cancer (PC) and the other 7 had been treated for rectal cancer (RC). Read More

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http://dx.doi.org/10.1159/000457835DOI Listing
May 2018
7 Reads

Analysis of the ideal muscle weight of gracilis muscle transplants for facial reanimation surgery with regard to the donor nerve and outcome.

J Plast Reconstr Aesthet Surg 2017 Apr 9;70(4):459-468. Epub 2017 Jan 9.

Department of Plastic and Hand Surgery, University of Freiburg Medical Center, Faculty of Medicine, Freiburg, Germany. Electronic address:

Background: Free functional muscle transfers represent the 'criterion standard' for smile reconstruction in facial paralysis. The gracilis muscle is a common donor muscle; however, no data exist regarding the volume of the muscle tissue that is necessary for symmetric commissure excursion.

Methods: All patients with facial paralysis receiving a free functional muscle transfer for facial reanimation surgery between January 2009 and November 2015 were retrospectively analysed. Read More

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http://dx.doi.org/10.1016/j.bjps.2016.12.005DOI Listing
April 2017
3 Reads

Single innervated segmented vastus lateralis for midfacial reanimation during radical parotidectomy.

Head Neck 2017 03 9;39(3):602-604. Epub 2017 Jan 9.

Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.

Background: Innervated free muscle transfer using the gracilis muscle or temporalis myoplasty has been successfully utilized for facial reanimation in chronic facial palsy. These techniques are less suited to immediate facial reconstruction in the setting of radical parotidectomy, in which the complexity of the defect, patient age, postoperative radiotherapy, and limited life expectancy pose particular challenges.

Methods: We present a novel description of the use of a chimeric anterolateral thigh (ALT) flap and innervated vastus lateralis to achieve midface static suspension and dynamic reanimation in the setting of radical parotidectomy. Read More

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http://dx.doi.org/10.1002/hed.24668DOI Listing
March 2017
4 Reads

Free Functioning Gracilis Muscle Transfer for Elbow Flexion Reconstruction after Traumatic Adult Brachial Pan-Plexus Injury: Where Is the Optimal Distal Tendon Attachment for Elbow Flexion?

Plast Reconstr Surg 2017 Jan;139(1):128-136

Rochester, Minn. From the Department of Orthopedic Surgery, Division of Hand Surgery, the Department of Neurologic Surgery, and the Center for Innovation, Mayo Clinic.

Background: Reconstruction after pan-plexus root avulsions often includes gracilis free functioning muscle transfer. For elbow flexion reconstruction, the free functioning muscle transfer distal tendon is inserted into the biceps tendon or more distally (i.e. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002864DOI Listing
January 2017
13 Reads

Correction of Residual Static and Dynamic Labial Deviations in a Paralyzed Face After Free Gracilis Muscle Transplantation.

J Craniofac Surg 2016 Nov;27(8):2143-2145

Department of Plastic, Reconstructive and Maxillo-Facial Surgery, and Burn Unity, Centro Hospitalar de São João, Faculty of Medicine-Porto University, Alameda Professor Hernâni Monteiro, Porto, Portugal.

Free muscle flap transfer is currently the procedure of choice for longstanding facial paralysis to restore symmetry both at rest and when smiling. However, movements obtained are generally localized, unidirectional, and philtrum centralization and lower lip movement is not proportionally achieved. The stability of free flap insertion at the lips also interferes with the results, as gradual disinsertion and shifting of the nasolabial fold can be caused by repetitive movements. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SCS.0000000000002970DOI Listing
November 2016
2 Reads

Semitendinosus and gracilis free muscle-tendon graft for repair of massive rotator cuff tears: surgical technique.

Joints 2016 Jul-Sep;4(3):189-192. Epub 2016 Sep 21.

Clinical Orthopaedics, Department of Clinical and Molecular Science DISCLIMO, Polytechnic University of Marche, Ancona, Italy.

Massive rotator cuff tears are difficult to treat surgically due to retraction, degeneration and fraying of the ends of torn tendons, severe fatty infiltration and atrophy of the respective muscles. Procedures developed to close the gap between the rotator cuff and the greater tuberosity of the humerus, such as soft tissue release may be inadequate for large tears. Human or porcine dermal allografts still have uncertain benefits, and tendon transfers seem to be associated with poor outcomes, donor site morbidity and altered mechanics. Read More

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http://dx.doi.org/10.11138/jts/2016.4.3.189DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115245PMC
September 2016
11 Reads

One versus two venous anastomoses in microvascular lower extremity reconstruction using gracilis muscle or anterolateral thigh flaps.

Injury 2016 Dec 17;47(12):2828-2832. Epub 2016 Oct 17.

Department of Plastic, Reconstructive, Hand and Burn Surgery, StKM-Klinikum Bogenhausen, Academic Teaching Hospital Technical University Munich, Germany.

Introduction: Free tissue transfers are a highly reliable procedure routinely performed for reconstruction of a wide range of defects. Main complication in free flap surgery is usually venous thrombosis. Many technical controversies exist regarding the technical details of the microvascular anastomosis in order to prevent occurrence of thrombosis and optimize outcomes. Read More

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http://dx.doi.org/10.1016/j.injury.2016.10.015DOI Listing
December 2016
16 Reads

Double transverse myocutaneous gracilis free flaps for unilateral breast reconstruction.

Microsurgery 2016 Oct 9;36(7):539-545. Epub 2015 Jun 9.

Department of Plastic Surgery, Microsurgery and Reconstructive Breastsurgery, Marienhospital Stuttgart, Germany.

Background: In cases were the deep inferior epigastric perforator flap (DIEP flap) is not available and unilateral transverse myocutaneous gracilis flap (TMG flap) is not sufficient for breast reconstruction, we perform double TMG flaps as a reconstructive method. In this report, we present our results of the use of double TMG free-flap-transfer for unilateral breast reconstruction.

Patients And Methods: Between August 2004 and June 2012 we performed 58 TMG flaps in 29 patients for unilateral breast reconstruction. Read More

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http://dx.doi.org/10.1002/micr.22397DOI Listing
October 2016
2 Reads

Semitendinosus and gracilis transfer for treatment of medial collateral ligament injury of total knee arthroplasty.

Eur Rev Med Pharmacol Sci 2016 09;20(18):3738-3742

Department of Joint Surgery, Tianjin Orthopaedics Hospital, Tianjin, P.R. China.

Objective: The objective of the study is to evaluate the clinic effectiveness of semitendinosus and gracilis transfer for the treatment of medial collateral ligament (MCL) injury of total knee arthroplasty (TKA).

Patients And Methods: From March 2009 to May 2014, a series of 11 patients with MCL injuries of primary TKA were treated by semitendinosus and gracilis transfer. Another 18 patients (21 knees) were recruited as control group. Read More

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September 2016
6 Reads

Enhancing surgical outcomes: The effects of speech therapy on a school-aged girl with Moebius Syndrome.

Int J Pediatr Otorhinolaryngol 2016 Nov 3;90:58-62. Epub 2016 Sep 3.

Speech Science, The University of Auckland, New Zealand. Electronic address:

Purpose: Moebius Syndrome is a rare congenital neurological condition often characterized by multiple cranial nerve involvement. This case study presents an eight-year old girl with Moebius Syndrome (MC) who received 30 sessions of speech therapy. This occurred after presenting to clinic 11 months after left facial reanimation with gracilis thigh muscle transfer surgery. Read More

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http://dx.doi.org/10.1016/j.ijporl.2016.08.031DOI Listing
November 2016
6 Reads

Donor nerve sources in free functional gracilis muscle transfer for elbow flexion in adult brachial plexus injury.

Microsurgery 2017 Jul 5;37(5):377-382. Epub 2016 Oct 5.

Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.

Background: With complete plexus injuries or late presentation, free functional muscle transfer (FFMT) becomes the primary option of functional restoration. Our purpose is to review cases over a 10-year period of free functioning gracilis muscle transfer after brachial plexus injury to evaluate the effect of different donor nerves used to reinnervate the FFMT on functional outcome.

Methods: A retrospective study from April 2001 to January 2011 of a single surgeon's practice was undertaken. Read More

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http://dx.doi.org/10.1002/micr.30120DOI Listing
July 2017
12 Reads

Nerve and Free Gracilis Muscle Transfers for Thumb and Finger Extension Reconstruction in Long-standing Tetraplegia.

J Hand Surg Am 2016 Nov 1;41(11):e411-e416. Epub 2016 Sep 1.

Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina (Unisul), Tubarão, Santa Catarina, Brazil.

Purpose: With spinal cord injuries, muscles below the level of the lesion remain innervated despite the absence of volitional control. This persistent innervation protects against denervation atrophy and may allow for nerve transfers to treat long-standing lesions within the spinal cord. We tested the hypothesis that in chronic spinal cord lesions, muscles remained viable for reinnervation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023163045
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http://dx.doi.org/10.1016/j.jhsa.2016.08.003DOI Listing
November 2016
3 Reads

Controversies in Contemporary Facial Reanimation.

Facial Plast Surg Clin North Am 2016 Aug;24(3):275-97

Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medicine, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287-0910, USA. Electronic address:

Facial palsy is a devastating condition with profound functional, aesthetic, and psychosocial implications. Although the complexity of facial expression and intricate synergy of facial mimetic muscles are difficult to restore, the goal of management is to reestablish facial symmetry and movement. Facial reanimation surgery requires an individualized treatment approach based on the cause, pattern, and duration of facial palsy while considering patient age, comorbidities, motivation, and goals. Read More

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http://dx.doi.org/10.1016/j.fsc.2016.03.016DOI Listing
August 2016
5 Reads

Innervated Free Gracilis Muscle Transfer: An Experimental Model.

J Craniofac Surg 2016 Sep;27(6):1515-6

*The Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA †Department of Plastic Surgery, The First Hospital of China Medical University, Shenyang, China.

Background: Although rodent models have been used extensively for surgical research, their use is limited in microsurgical tissue transfer due to their small size and the small size of their vessels and nerves. Also, fundamental anatomic differences may make rodent surgical models hard to extrapolate to humans.

Methods: In this report, the authors present a rabbit model for studying free tissue transfer and nerve regeneration using the innervated free gracilis muscle flap. Read More

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http://dx.doi.org/10.1097/SCS.0000000000002843DOI Listing
September 2016
2 Reads

Free Flap Functional Muscle Transfers.

Hand Clin 2016 08;32(3):397-405

Department of Orthopedic Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, NC 27705, USA.

Free functional muscle transfers remain a powerful reconstructive tool to restore upper extremity function when other options such as tendon or nerve transfers are not available. This reconstructive technique is commonly used for patients following trauma, ischemic contractures, and brachial plexopathies. Variable outcomes have been reported following free functional muscle transfers that are related to motor nerve availability and reinnervation. Read More

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http://dx.doi.org/10.1016/j.hcl.2016.03.009DOI Listing
August 2016
6 Reads

Immediate pedicled gracilis flap in radial forearm flap phalloplasty for transgender male patients to reduce urinary fistula.

J Plast Reconstr Aesthet Surg 2016 Nov 2;69(11):1551-1557. Epub 2016 Jun 2.

China Medical University Hospital, Department of Plastic Surgery, North District, Taichung City 404, Taiwan.

Background And Aim: Radial forearm phalloplasty is accompanied by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on the development of postoperative urethrocutaneous fistula.

Methods: Fifteen patients underwent phalloplasty with urethroplasty between June 2012 and October 2015, and they met the inclusion and exclusion criteria for the study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815163008
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http://dx.doi.org/10.1016/j.bjps.2016.05.011DOI Listing
November 2016
33 Reads

Lengthening temporalis myoplasty versus free muscle transfer with the gracilis flap for long-standing facial paralysis: A systematic review of outcomes.

J Craniomaxillofac Surg 2016 Aug 25;44(8):940-51. Epub 2016 May 25.

European Face Centre, Universitair Ziekenhuis, Brussels, Belgium. Electronic address:

Background: Our aim was to compare the outcomes of reconstructive surgery for long-standing facial paralysis by gracilis free flap transfer versus lengthening temporalis myoplasty (LTM) according to Daniel Labbé.

Materials And Methods: PubMed, Web of Science, Wiley Online Library, Cochrane Library, Directory of Open Access Journals, and SAGE Premier 2011 database were electronically searched. Randomized controlled trials (RCTs), controlled clinical trials (CCTs), and case series with a sample size > 5 were sought. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182163005
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http://dx.doi.org/10.1016/j.jcms.2016.05.006DOI Listing
August 2016
14 Reads

Inset of Unilateral Dual Microvascular Breast Reconstruction Using Nonabdominal Free Tissue Transfer.

Plast Reconstr Surg 2016 Jul;138(1):42-8

Kansas City, Kan. From the Department of Plastic Surgery, University of Kansas Medical Center.

Background: Large breasted patients are difficult to reconstruct using free tissue transfer after mastectomy when abdominal tissue is inadequate. For these, two unilateral free flaps may be required. This study reviews the authors' experience using transverse upper gracilis and profunda artery perforator flaps. Read More

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http://dx.doi.org/10.1097/PRS.0000000000002255DOI Listing
July 2016
3 Reads

Facial animation with gracilis muscle transplant reinnervated via cross-face graft: Does it change patients' quality of life?

J Craniomaxillofac Surg 2016 Aug 17;44(8):934-9. Epub 2016 May 17.

Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma, Parma, Italy.

Purpose: Gracilis muscle reinnervated by the contralateral facial nerve via cross-graft technique is nowadays considered to be a first-line procedure for facial animation in unilateral palsies. Despite the wide number of papers published analyzing technical aspects, refinements, functional results, and cosmetic outcomes, only a few authors have focused their publications on the patient's perspective and impact on QOL of these procedures.

Material And Methods: Changes in quality of life in 42 patients treated with gracilis muscle transplant reinnervated via cross-face graft were analyzed through a comparison of preoperative and postoperative items on the Facial Disability Index questionnaire. Read More

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http://dx.doi.org/10.1016/j.jcms.2016.05.009DOI Listing
August 2016
12 Reads

[SEMITENDINOUS AND GRACILIS TRANSFER FOR TREATMENT OF MEDIAL COLLATERAL LIGAMENT INJURY CAUSED BY TOTAL KNEE ARTHROPLASTY].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Feb;30(2):148-51

Objective: To evaluate the effectiveness of semitendinous and gracilis transfer for the treatment of medial collateral ligament (MCL) injury caused by total knee arthroplasty (TKA).

Methods: Between March 2009 and May 2014, 11 patients (11 knees) with MCL injuries caused by primary TKA were treated by semitendinous and gracilis transfer in primary TKA (injury group). Another 18 patients (21 knees) without MCL injury were included as the control group. Read More

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February 2016
4 Reads

Microsurgical free muscle flaps for reconstruction of post-traumatic complex tissue defects of foot.

Med J Armed Forces India 2016 Apr 16;72(2):131-9. Epub 2016 Apr 16.

DMS (E&S), Air HQ, RK Puram (Med Directorate), New Delhi, India.

Background: Crush injuries of the foot often result in complex tissue loss with exposed bones and tendons. These three-dimensional defects ideally require flexible well-perfused flaps to fill the space, afford resistance to infections, and to provide supple, durable weight- and pressure-bearing surfaces. Free muscle flaps with split thickness skin graft cover have been found to have several advantages in covering three-dimensional defects with exposed tendons and bones. Read More

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http://dx.doi.org/10.1016/j.mjafi.2016.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878945PMC
April 2016
4 Reads

[Patellar tendon injuries after total knee arthroplasty : Classification and management].

Orthopade 2016 May;45(5):425-32

Klinik für Orthopädie und Unfallchirurgie, Evangelisches Waldkrankenhaus Spandau, Stadtrandstraße 555, 13589, Berlin, Deutschland.

Background: Ruptures of the patellar tendon after total knee arthroplasty represent a rare but severe complication, which in general requires surgical therapy.

Objectives: To implement a classification and correspondent therapy algorithm in consideration of the current literature for the treatment of patellar tendon ruptures after TKA.

Material And Methods: A review of the recent literature and the author's experience are summarized in a classification and correspondent therapy algorithm for the treatment of patellar tendon ruptures after TKA. Read More

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http://dx.doi.org/10.1007/s00132-016-3257-6DOI Listing
May 2016
1 Read

Gracilis Free Muscle Transfer in the Treatment of Pediatric Facial Paralysis.

Facial Plast Surg 2016 Apr 20;32(2):199-208. Epub 2016 Apr 20.

Division of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.

Facial paralysis in children is a disabling functional and aesthetic issue. In cases where recovery is not expected, there are numerous options for reconstruction of the midface "smile." At the Hospital for Sick Children in Toronto, Canada, we have been using a free functional gracilis muscle transfer. Read More

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http://dx.doi.org/10.1055/s-0036-1582248DOI Listing
April 2016
10 Reads

Novel Technique of Achilles Tendon Reconstruction Using Semitendinosus and Gracilis Tendon. Preliminary Report.

Ortop Traumatol Rehabil 2015 Nov-Dec;17(6):619-25

Organization Rehasport Clinic, Poznan, Poland.

Background: Achilles tendon ruptures are a common clinical problem. While there are many techniques of Achilles tendon reconstruction, there is little evidence that any of them is clearly superior to the others. The most common techniques rely on augmentation of the plantar tendon, peroneus brevis tendon and flexor hallucis longus tendon. Read More

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http://899.indexcopernicus.com/abstracted.php?level=5&IC
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http://dx.doi.org/10.5604/15093492.1193034DOI Listing
April 2017
10 Reads

Combination of Vascular Intervention Surgery and Free Tissue Transfer for Critical Diabetic Limb Salvage.

Ann Plast Surg 2016 Feb;77 Suppl 1:S16-21

From the *Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital; †Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine; ‡Faculty of Medicine, College of Medicine, Kaohsiung Medical University; and §Department of Biological Sciences, National Sun Yat-Sen University, Kaohsiung, Taiwan.

Background: Complex, nontraumatic diabetic foot ulcers with peripheral vascular compromise often lead to extensive lower-limb amputation. The aim of this study is to determine the outcome of combined vascular intervention and free tissue transfer for critical diabetic limb salvage.

Materials And Methods: A total of 26 consecutive diabetic patients with 28 legs with diabetic foot ulcers who underwent limb salvage with a combination of revascularization (bypass surgery or endovascular angioplasty) and free flap transfers were reviewed. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000812DOI Listing
February 2016
13 Reads

Microsurgical Reconstruction of Plantar Ulcers of the Insensate Foot.

Authors:
Dinesh Kadam

J Reconstr Microsurg 2016 Jun 24;32(5):402-10. Epub 2016 Feb 24.

Department of Plastic and Reconstructive Surgery, A.J. Institute of Medical Sciences and A.J. Hospital & Research Centre, Mangalore, Karnataka, India.

Background Plantar, neuropathic, or trophic ulcers are often found in patients with decreased sensation in the foot. These ulcers can be complicated by infection, deformity, and increased patient morbidity. Excision results in wider defects and local tissues are often insufficient for reconstruction Methods Total 26 free flaps were used in 25 patients to reconstruct plantar ulcers between years 2007 and 2013. Read More

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http://dx.doi.org/10.1055/s-0036-1579536DOI Listing
June 2016
7 Reads