Enrico Martin
195 Functional reconstructions in extremity STS Table 2 Average functional outcomes in upper extremity reconstructions. Study Flaps (N) Objective measures a Subjective measures a MRC ROM MSTS DASH TESS VAS Shoulder& upper arm Deltoid Doi 1999 TFL (1) 4.0 0° lag 93.3% Muramatsu 2014 Pedicled LD (4) 3.8 164° 91.5% Trapezius Grinsell 2012 Pedicled LD (1) 5.0 100% 0 Biceps Grinsell 2012 Pedicled LD (1), gracilis (1) 4.0 63.3% 22.5 Mundinger 2014 Pedicled LD (3) 98.7% Triceps Mundinger 2014 Pedicled LD (1) 100% Forearm Flexor compartment Mundinger 2014 TT: FDS to FCR (1), PL to FPL (1) 77.0% Muramatsu 2009 LD (1) 83.3% Extensor compartment Doi 1999 Gracilis + PL (1) 3.0 30° 93.3% Muramatsu 2009 Gracilis (2), LD (1) 4.0 b 88.9% Stranix 2017 Composite ALT (1) 80% Hand & wrist Hand Mehrara 2008 Toe-to-thumb (1) TT: FDS to FPL (2), ECR to EPL (1), FPL to P1 (1) LABCN (2), sural nerve (1) 95.2% Mirous 2016 Allografts: finger flexion (2) TT: PL to ECRL and ECRB (1), EIP to EPL (1), hemiFCR to APL (1) Sural nerve (2) 75.3% 21.3 0 Mundinger 2014 Allografts: finger flexion (1), finger extension (1), wrist extension (1) 65.1 a = DASH: disability of the arm, shoulder, and hand questionnaire (0-100 points, higher score correlates to larger disability), MRC/MMT: medical research council muscle grade / manual muscle testing (0-5), MSTS: musculoskeletal tumor society scale (0-30 points, higher score correlates to higher function), ROM: range of motion (degrees), TESS: Toronto extremity salvage score (0-150 points, high score correlates to higher function), VAS: visual analog scale (0-10), b = MRC outcome only given in one case. APL: abductor pollicis longus DN: digital nerve, ECRB: extensor carpi radialis brevis, ECRL: extensor carpi radialis longus, EIP: extensor indicis proprius, EPL: extensor policis longus, FCR: flexor carpi radialis, FDS: flexor digitorum superficialis, FPL: flexor pollicis longus, LABCN: lateral antebrachial cutaneous nerve, LD: latissimus dorsi flap, P1: first phalanx, PL: palmaris longus, TFL: tensor fascia lata flap, TT: tendon transfer 8
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