Free skeletal muscle grafting

Treatment of diseases: soft tissue damage Indication A skeletal muscle defect or a soft tissue defect. Contraindications The patient's own quality is poor and cannot tolerate surgery. Preoperative preparation The donor muscle requires a superficial position, is easy to cut, and has a long vascular nerve pedicle. There is still a problem involving the matching of donor and recipient muscle morphology. So find a pair of skeletal muscle donors before surgery. Surgical procedure 1. The source of skeletal muscle is generally based on autologous skeletal muscle transplantation. 2. Simple free skeletal muscle transplantation is characterized by a whole block (or segment) transplantation, including dense bone, bone marrow, and sometimes with periosteum. 3. Formal cancellous skeletal muscle transplantation is made of metal mesh or polyester mesh. The jaw bracket is fixed in the defect area of the jaw, and then the cancellous bone and bone marrow are filled into the net. After active calcification of the osteoblasts , can form a whole segment of bone. 4. Musculoskeletal skeletal muscle transplantation commonly used pedicled muscle flap has sternocleidomastoid muscle with clavicle, pectoralis major muscle with ribs, trapezius muscle with scapula, and diaphragm with skull. 5. Vascular anastomosis free skeletal muscle transplantation using microsurgical techniques for vascular anastomosis, is a new type of bone free transplantation for blood circulation reconstruction.