{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:47:41Z","timestamp":1762865261672},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2005,10,19]],"date-time":"2005-10-19T00:00:00Z","timestamp":1129680000000},"content-version":"vor","delay-in-days":4309,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report on two patients with severe injuries of the forearm who were reconstructed using functioning free muscle transplantation (FFMT) for individual replacement of flexor and extensor function. In both cases a two\u2010stage procedure was performed: The extensor reconstruction preceded the flexor reconstruction by 4\u20136 months. The extensor digitorum communis and flexor digitorum profundus were successfully reconstructed in both cases using bilateral gracilis FFMT. In one case the flexor pollicis longus and extensor pollicis lon\u2010gus were also reconstructed using the adductor longus in addition to the gracilis. Clinical follow\u2010up was a minimum of 2 years. Both patients achieved wrist control, excellent finger flexion, and metacarpophalangeal joint extension. One patient also had good interphalangeal finger extension, but the other developed a persistent claw deformity due to the lack of recovery of ulnar nerve function. Performing the extensor reconstruction prior to the flexor reconstruction theoretically allows a more rapid return of function and a shorter rehabilitation period than using the converse sequence. \u00a9 1994 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/micr.1920150510","type":"journal-article","created":{"date-parts":[[2007,3,4]],"date-time":"2007-03-04T23:05:44Z","timestamp":1173049544000},"page":"338-343","source":"Crossref","is-referenced-by-count":21,"title":["Technical considerations in two\u2010stage functioning free muscle transplantation reconstruction of both flexor and extensor functions of the forearm"],"prefix":"10.1002","volume":"15","author":[{"given":"David Chwei\u2010Chin","family":"Chuang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Strauch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fu\u2010Chan","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197610000-00002"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(78)80134-8"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(84)80181-1"},{"key":"e_1_2_1_5_2","first-page":"861","volume-title":"Free muscle flap","author":"Manktelow RT","year":"1984"},{"key":"e_1_2_1_6_2","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/S0749-0712(21)01143-4","article-title":"Functioning microsurgical muscle transfer","volume":"4","author":"Manktelow RT","year":"1988","journal-title":"Hand Clin"},{"key":"e_1_2_1_7_2","first-page":"151","volume-title":"Microvascular Reconstruction: Anatomy, Application, and Surgical Technique","author":"Manktelow RT","year":"1987"},{"key":"e_1_2_1_8_2","unstructured":"GuelinckxPJ:Biceps muscle reconstruction: Experimental and clinical experience. Presented at the 11th Congress of the International Microsurgical Society Rhodes Greece. June 21\u201326 1992."},{"key":"e_1_2_1_9_2","first-page":"238","article-title":"Combined surgery of free muscle transplantation and intercostal nerve crossing as a reconstruction of elbow flexion and wrist extension in brachial plexus injuries","volume":"3","author":"Hara T","year":"1986","journal-title":"J Jpn Soc Surg Hand"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198904000-00001"},{"key":"e_1_2_1_11_2","unstructured":"TerzisJK: Pursing the impossible dream\u2014Functional restoration in brachial plexus injuries. Presented at the Ninth Symposium of the International Society of Reconstructive Microsurgery Yamanashi Japan April 17\u201322 1988."},{"key":"e_1_2_1_12_2","unstructured":"HamiltonSGL TerzisJK: Surgical anatomy of the facial musculature and muscle transplantation in Brunelli G (ed):Textbook of Microsurgery. Milano Masson 1988."},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197602000-00001"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198502000-00011"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199202000-00024"},{"key":"e_1_2_1_16_2","unstructured":"IharaK DoiK SakaiK: Free muscle transfer for the reconstruction of soft tissue sarcoma. Presented at the 10th Symposium of the International Society of Reconstructive Microsurgery Munich Germany September 15\u201321 1991."},{"key":"e_1_2_1_17_2","first-page":"1081","volume-title":"Combined nerve palsies","author":"Omer GE","year":"1984"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.1920150510","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.1920150510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T17:15:45Z","timestamp":1698167745000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.1920150510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["10.1002\/micr.1920150510"],"URL":"https:\/\/doi.org\/10.1002\/micr.1920150510","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}