Functioning Gracilis Musculocutaneous Free Flap Transplantation for the Reconstruction of Hand Function

Journal of the Korean Society for Surgery of the Hand 2000;9(2):102-109.
Published online November 30, 2000.

Kwang Seok Lee, M.D., Seung Beom Han, M.D., In Cheol Hwang, M.D., Dong Won Suh, M.D.

수부기능의 재건을 위한 기능성 유리 박근 근피판 이식

이광석·한승범·황인철·서동원

Abstract

Purpose : We performed this study in order to analyze the clinical results of functioning gracilis musculocutaneous free flap transplantation for reconstructon of hand function in cases of Volkmann’s ischemic contracture and massive soft tissue injury of forearm.
Materials and methods : 18 cases were reviewed with 5 yeas of mean follow up period. We evaluated total active motion of the finger joints and wrist, pinch and grip strength.
Results : The flap were survived in 17 cases and 1 case was failed due to infection. The sum of active motion of finger joints(TAM) was improved from 0 to 173.8。. The average grip and pinch strength was improved from 0 kg to 2.7±2.1kg and from 0 kg to 2.4±1.6kg.
Conclusion : The results in most cases were acceptable in relatively long term follow-up. It may be an option for reconstruction of hand function in cases of Volkmann’s ischemic contracture and traumatic upper extremity injury.

Key Words: Gracilis musculocutaneous free flap transfer, Volkmann’s ischemic contracture, Reconstruction of hand function