Inverted free functional gracilis muscle transfer for the restoration of elbow flexion

摘要

The loss of elbow flexion after upper extremity injury has devastating implications for a patient's future daily function. A range of elbow reanimation procedures after brachial plexus injury have been described, including nerve transfers or grafts, local tendon and muscle transfers, and free functioning muscle transfers.2 When motor endplate degeneration has taken place and motor recovery is no longer possible, free functioning muscle transfer is arguably the optimal reconstruction.