By lengthening the trapezius with a strip of fascia lata, it is possible to utilize this muscle as an effective substitute for the paralyzed abductors. Essential to success of the procedure is the presence not only of a strong trapezius and serratus magnus, but also of one additional muscle,-either the clavicular portion of the pectoralis major, the biceps, or the coracobrachialis. The operation has the advantage over the arthrodesis that it gives a more complete range of abduction and the aesthetic effect is more pleasing. It has the disadvantage of requiring at least three months of post-operative exercises.
(C) 1927 All Rights Reserved.The Journal of Bone and Joint Surgery, Inc.