Repair of muscle and musculotendinous junction injuries with an autogenous fascial patch

S. M. Kumta, Albert A. Panozzo, P. C. Leung, S. L. Fong

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We have used an autogenous fascia lata patch to repair muscle and musculotendinous junction injuries affecting 99 individual muscles in 23 patients with multiple incised wounds to the upper limbs. All patients were followed up for at least 2 years. Two patients with severe dystrophic changes following nerve injuries were excluded from the final analysis. Satisfactory grip strength was restored 6 months following the repair in 19 of the 21 patients we evaluated. Complete active and passive range of wrist and digital motion was seen in 18 of these 21 patients. Tightness of the flexor pollicis longus was seen in 2 patients, one of whom had a deformity of the interphalangeal joint of the thumb that was passively stretched and subsequently reduced. Scar adhesions were noted in 4 other patients, but this did not affect wrist or finger motion, except in one. The autogenous fascial patch repair technique provides strong and good apposition of muscle fibres simply by distributing the force and tension over a large area of the muscle, thereby allowing early mobilization and functional restoration of the extremity.

Original languageEnglish (US)
Pages (from-to)198-200
Number of pages3
JournalArchives of Orthopaedic and Trauma Surgery
Volume120
Issue number3-4
StatePublished - Feb 2000
Externally publishedYes

Fingerprint

Muscles
Wounds and Injuries
Wrist
Fascia Lata
Early Ambulation
Multiple Trauma
Thumb
Hand Strength
Upper Extremity
Fingers
Cicatrix
Extremities
Joints

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Repair of muscle and musculotendinous junction injuries with an autogenous fascial patch. / Kumta, S. M.; Panozzo, Albert A.; Leung, P. C.; Fong, S. L.

In: Archives of Orthopaedic and Trauma Surgery, Vol. 120, No. 3-4, 02.2000, p. 198-200.

Research output: Contribution to journalArticle

@article{82ed61278c6043ff8a3843831459c0f7,
title = "Repair of muscle and musculotendinous junction injuries with an autogenous fascial patch",
abstract = "We have used an autogenous fascia lata patch to repair muscle and musculotendinous junction injuries affecting 99 individual muscles in 23 patients with multiple incised wounds to the upper limbs. All patients were followed up for at least 2 years. Two patients with severe dystrophic changes following nerve injuries were excluded from the final analysis. Satisfactory grip strength was restored 6 months following the repair in 19 of the 21 patients we evaluated. Complete active and passive range of wrist and digital motion was seen in 18 of these 21 patients. Tightness of the flexor pollicis longus was seen in 2 patients, one of whom had a deformity of the interphalangeal joint of the thumb that was passively stretched and subsequently reduced. Scar adhesions were noted in 4 other patients, but this did not affect wrist or finger motion, except in one. The autogenous fascial patch repair technique provides strong and good apposition of muscle fibres simply by distributing the force and tension over a large area of the muscle, thereby allowing early mobilization and functional restoration of the extremity.",
author = "Kumta, {S. M.} and Panozzo, {Albert A.} and Leung, {P. C.} and Fong, {S. L.}",
year = "2000",
month = "2",
language = "English (US)",
volume = "120",
pages = "198--200",
journal = "Archiv fur orthopadische und Unfall-Chirurgie",
issn = "0003-9330",
publisher = "Springer Verlag",
number = "3-4",

}

TY - JOUR

T1 - Repair of muscle and musculotendinous junction injuries with an autogenous fascial patch

AU - Kumta, S. M.

AU - Panozzo, Albert A.

AU - Leung, P. C.

AU - Fong, S. L.

PY - 2000/2

Y1 - 2000/2

N2 - We have used an autogenous fascia lata patch to repair muscle and musculotendinous junction injuries affecting 99 individual muscles in 23 patients with multiple incised wounds to the upper limbs. All patients were followed up for at least 2 years. Two patients with severe dystrophic changes following nerve injuries were excluded from the final analysis. Satisfactory grip strength was restored 6 months following the repair in 19 of the 21 patients we evaluated. Complete active and passive range of wrist and digital motion was seen in 18 of these 21 patients. Tightness of the flexor pollicis longus was seen in 2 patients, one of whom had a deformity of the interphalangeal joint of the thumb that was passively stretched and subsequently reduced. Scar adhesions were noted in 4 other patients, but this did not affect wrist or finger motion, except in one. The autogenous fascial patch repair technique provides strong and good apposition of muscle fibres simply by distributing the force and tension over a large area of the muscle, thereby allowing early mobilization and functional restoration of the extremity.

AB - We have used an autogenous fascia lata patch to repair muscle and musculotendinous junction injuries affecting 99 individual muscles in 23 patients with multiple incised wounds to the upper limbs. All patients were followed up for at least 2 years. Two patients with severe dystrophic changes following nerve injuries were excluded from the final analysis. Satisfactory grip strength was restored 6 months following the repair in 19 of the 21 patients we evaluated. Complete active and passive range of wrist and digital motion was seen in 18 of these 21 patients. Tightness of the flexor pollicis longus was seen in 2 patients, one of whom had a deformity of the interphalangeal joint of the thumb that was passively stretched and subsequently reduced. Scar adhesions were noted in 4 other patients, but this did not affect wrist or finger motion, except in one. The autogenous fascial patch repair technique provides strong and good apposition of muscle fibres simply by distributing the force and tension over a large area of the muscle, thereby allowing early mobilization and functional restoration of the extremity.

UR - http://www.scopus.com/inward/record.url?scp=0033976770&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033976770&partnerID=8YFLogxK

M3 - Article

C2 - 10738883

AN - SCOPUS:0033976770

VL - 120

SP - 198

EP - 200

JO - Archiv fur orthopadische und Unfall-Chirurgie

JF - Archiv fur orthopadische und Unfall-Chirurgie

SN - 0003-9330

IS - 3-4

ER -