Sánchez-Dauth DM, Rodríguez-Corpus LA, Beltrán-Pardo AG, Grajeda-Chávez O, Cano-Pérez LP

Language: Spanish
References: 10
Page: 99-102
PDF size: 329.66 Kb.

ABSTRACT

Traumatic lesion of brachial plexus involves a challenge for the surgeon of peripheral nerve and a significant loss of limb function, and it has a great impact on the patient's psychosocial environment. New treatments have been developed in the reconstruction of peripheral nerves in the initial stages of trauma; however, there is still difficulty in treating patients with more than 12 months of evolution after the accident, or in cases with preganglionic lesions. The gracilis flap is a versatile option in reconstructive surgery. Over the years its use has extended from breast and facial reconstruction to functional restoration after a total brachial plexus injury. The advantages of this method include the possibility of free transfer, providing both a functional muscle unit and soft tissue coverage in a single reconstructive procedure. We describe the use of a free innervated gracilis muscle flap for the restoration of the wrist and finger extension after a high brachial plexus injury, with a good functional result.

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