Motor replacement surgery

Under motor replacement surgery is meant in the surgery a rearrangement of muscles or muscle tendon units to other muscle groups (so-called. Motorized hip replacement).

Either only one of the attachment points of the healthy donor muscle is transferred to the diseased muscle or the entire muscle with the supplying nerves and blood vessels is transplanted into the target area. Free transplantation of just the muscle is also possible if it is connected to nerves and vessels in the target area.

In the case of injuries or damaged nerves in the area of ​​the upper and lower extremities in particular, the function of the hand or foot can be lost or restricted . In addition to nerve cell transplantation and nerve reconstruction, motor replacement surgery is a method of restoring these functions. Here, the tendon z. B. relocated a functionally impaired finger to another functional neighboring muscle group. Thus, its function is partially or fully restored.

The procedure is used in particular for nerve injuries. It is considered mature and safe. The first replacement operations were carried out in the 19th century, the first descriptions come from Tillaux (1869), Duplay (1876) and Carl Nicoladoni (1880).

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1. ↑ P. Brüser: Motor replacement operations on the upper extremity . Deutsches Ärzteblatt (1999) 96: A-1134. online (accessed April 17, 2009)

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