Figure 8 | Scientific Reports

Figure 8

From: Procedures for obtaining muscle physiology parameters during a gracilis free-functioning muscle transfer in adult patients with brachial plexus injury

Figure 8

Surgical procedure for preparing the gracilis MTU for testing. (a) The gracilis tendon is freed from surrounding soft tissue between the tibia incision and distal medial thigh incision. Umbilical tape is place around the gracilis MTU at incision 1 and incision 2. Soft tissue attachments to the tendon are dissected until the tendon glides freely when either tether is pulled. (b) The outline of the gracilis and skin paddle is drawn on the medial aspect of the thigh. (c) The obturator motor branch is located and identified using a vessel loop. (d) The gracilis MTU ready for intraoperative testing after the proximal paddle incision is made and proximal gracilis tendon identified. (1) Tibia incision, (2) distal medial thigh incision, (3) proximal medial thigh incision.

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