21/09/2023
Functioning Free Muscle Transplantation to Restore Finger Movement for Sequalae of Volkmann Ischemic Contracture
Written by Kota Hayashi , Tommy , David Chuang and Johnny Lu (corresponding author).
Published in Hand Clinic, available online ahead of print
1) VIC affects all tissues involved, from deep to superficial, including not just muscles but ALSO nerves
2) Joint contractures must be corrected, and fibrotic nonviable muscles must be removed before the implementation of FFMT.
3)Three-staged strategy is necessary to achieve optimal outcomes. REMOVE > REHAB > REPLACE
4) Application of the functioning free muscle transplantation (FFMT) for treatment of Volkmann ischemic contracture (VIC) is markedly different from trauma and brachial plexus injury.
5) Gracilis FFMT for VIC needs to include a reliable skin flap paddle in order to facilitat closure in the forearm.
This paper was a no brainer to write with Kota. Enjoyed the discussions over the aims, content and the technical concerns. Kota did most of the work and I just provided the pics and revisions. Many thanks to Dr Harvey Chim and Dr Kevin Chung for the invitation, and most importantly to David Chuang for the experiences and teachings over the years.
Link:
https://authors.elsevier.com/a/1hlbK2gKQyA8x0
