Re-animation of muscle flaps for improved function in dynamic myoplasty.

Abstract:

:The authors report on a series of experiments designed to produce a skeletal muscle contraction functional for dynamic myoplasties. Conventional stimulation techniques recruit all or most of the muscle fibers simultaneously and with maximal strength. This approach has limitations in free dynamic muscle flap transfers that require the muscle to contract immediately after transfer and before re-innervation. Sequential stimulation of segments of the transferred muscle provides a means of producing non-fatiguing contractions of the muscle in the presence or absence of innervation. The muscles studied were the canine gracilis, and all experiments were acute studies in anesthetized animals. Comparison of conventional and sequential segmental neuromuscular stimulation revealed an increase in muscle fatigue resistance and muscle blood flow with the new approach. This approach offers the opportunity for development of physiologically animated tissue and broadening the abilities of reconstructive surgeons in the repair of functional defects.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Stremel RW,Zonnevijlle ED

doi

10.1002/micr.1052

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

281-6

issue

6

eissn

0738-1085

issn

1098-2752

pii

10.1002/micr.1052

journal_volume

21

pub_type

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