Optimal Distal Tendon Insertion Point for Elbow Flexion in Free-Functioning Gracilis Muscle Transfer for Panbrachial Plexus Injuries: A Cadaveric Study

Following pan-brachial plexus injuries, restoration of elbow flexion is widely accepted as the reconstructive priority. A gracilis free functioning muscle transfer (FFMT) can be used to restore elbow flexion alone with insertion into the biceps brachii (BIC) or brachioradialis (BRD) tendons or restore combined elbow and finger flexion with a more distal insertion into the flexor digitorum profundus (FDP) tendons. Using cadaveric experiments, we determined the peak instantaneous moment arm for each insertion option.

Source: The Journal of Hand Surgery - July 21, 2023 Category: Surgery Authors: Lomas S. Persad, Kitty Y. Wu, Alexander W. Hooke, Richard L. Lieber, Alexander Y. Shin, Kenton R. Kaufman Tags: Scientific Article Source Type: research