Thoracodorsal Vessels as Recipient for Gracilis Free Functional Muscle Transfer after Neurologic Surgery of Brachial Plexus without Elbow Flexion Recover. Report of 2 Clinical Cases

Abstract

Introduction: Since it first description by IKUTA 1979, gracilis free functional muscle transfer (FFMT) for biceps in brachial plexus injury (BPI) is as reliable alternative achieve elbow flexion. DOI 1994 described staged double transfer. First stage for elbow flexion and finger extension and second one for finger flexion. The Rambo procedure (derived from lambeau) is nowadays modified by DOI with acute neurologic reconstruction for shoulder and elbow extension.