Rectus femoris muscle grafts performed with and without vascular anastomosis: An experimental study in the rabbit

To study the effect of vascular repair on muscle transplants, rectus femoris muscles in rabbits were grafted orthotopically with and without microsurgical blood vessel repair. The function and structure of the grafts were evaluated 90 days after operation. Contractile properties were measured in viv...

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Veröffentlicht in:British journal of plastic surgery 1984-10, Vol.37 (4), p.584-595
Hauptverfasser: Guelinckx, P.J., Dom, R., Bex, Marina, Boeckx, W.D., Gruwez, J.A.
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container_end_page 595
container_issue 4
container_start_page 584
container_title British journal of plastic surgery
container_volume 37
creator Guelinckx, P.J.
Dom, R.
Bex, Marina
Boeckx, W.D.
Gruwez, J.A.
description To study the effect of vascular repair on muscle transplants, rectus femoris muscles in rabbits were grafted orthotopically with and without microsurgical blood vessel repair. The function and structure of the grafts were evaluated 90 days after operation. Contractile properties were measured in vivo. Muscle biopsies were stained for nerve and motor end-plate regeneration. The twitch tension and maximal tetanic tension returned respectively to 32±6% and 32±7% of control values in the vascular transplants. In the avascular transplants twitch tension and maximal tetanic tension were respectively 6±1% and 8±1% of control values. Poor regeneration of muscle fibres, infection, fibrosis and immature reinnervation were the reasons for failure of avascular transplants. The avascular muscle grafts had insufficient contractile properties and were more static than dynamic. In conclusion, large avascular muscle grafts should be avoided because of the likelihood of poor revascularisation with extensive ischaemic necrosis, resulting in scar tissue.
doi_str_mv 10.1016/0007-1226(84)90155-3
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subjects Animals
Biological and medical sciences
Capillaries
Graft Survival
Medical sciences
Microsurgery
Muscle Contraction
Muscles - blood supply
Muscles - innervation
Muscles - transplantation
Rabbits
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
title Rectus femoris muscle grafts performed with and without vascular anastomosis: An experimental study in the rabbit
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