Ren-Wen Huang, Chung-Chen Hsu, Cheng-Hung Lin, Chih-Hung Lin
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引用次数: 0
Abstract
Free functioning muscle transfer (FFMT) is widely used to reconstruct complex lower limb defects involving muscle deficits. This review explores ways to optimize FFMT outcomes by examining biomechanical considerations, particularly balancing the needs for stable joint positioning (isometric function) and active motion (isotonic function) for specific reconstructive objectives. We discuss knee extension, ankle dorsiflexion, and ankle plantarflexion reconstruction, recommending suitable donor muscles based on their mechanical properties and functional requirements. Important considerations include careful donor muscle selection, accurate muscle tensioning during surgery, secure tendon attachment methods, and targeted rehabilitation timed with nerve recovery. This approach offers practical advice for surgeons aiming to restore movement and improve overall function in patients undergoing complex lower limb reconstructions.
期刊介绍：
Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures.
The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.
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