Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Free functional gracilis muscle transfer in children with severe sequelae from obstetric brachial plexus palsy. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Open Access Case report Free functional gracilis muscle transfer in children with severe sequelae from obstetric brachial plexus palsy Jorg Bahm and Claudia Ocampo-Pavez Address Euregio Reconstructive Microsurgery Unit Franziskushospital Aachen Germany Email Jorg Bahm - Claudia Ocampo-Pavez - laserzentrum@ Corresponding author Published 30 October 2008 Received 29 April 2008 Journal of Brachial Plexus and Peripheral Nerve Injury 2008 3 23 doi l 749-7221-3-23 Accepted 30 October 2008 This article is available from http content 3 1 23 2008 Bahm and Ocampo-Pavez licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We present 4 children between 6 and 13 years suffering from severe sequelae after a total obstetric brachial plexus lesion resulting in a hand without functional active long finger flexion. They had successfully reanimated long finger flexion using a free functional gracilis muscle transfer. These children initially presented a total obstetric brachial plexus palsy without neurotisation of the lower trunk in an early microsurgical nerve reconstruction procedure. We describe our indications for this complex microsurgical procedure the surgical technique and the outcome. Background Obstetric brachial plexus palsy may result in a severe impairment of upper limb function. Early microsurgical reconstruction is proposed in upper and total palsies with insufficient functional recovery 1 . Nevertheless major motor functions may not recover both in operated or not operated children. Free functional muscle transfer has been developed in the last 30 years to replace major muscle function
