CC BY-NC-ND 4.0 · Indian J Plast Surg 2010; 43(02): 173-176
DOI: 10.1055/s-0039-1699431
Ideas & Innovations
Association of Plastic Surgeons of India

The transversely split gracilis twin free flaps

Divya N. Upadhyaya
1   Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar, India
,
Vaibhav Khanna
1   Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar, India
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, India
,
Surajit Bhattacharya
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, India
,
Sandeep Garg
3   Department of Orthopedic Surgery and Joint Replacement, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar, India
4   Department of Orthopedic Surgery and Joint Replacement, Sahara Hospital, Lucknow, India
,
Romesh Kohli
2   Department of Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, India
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

The gracilis muscle is a Class II muscle that is often used in free tissue transfer. The muscle has multiple secondary pedicles, of which the first one is the most consistent in terms of position and calibre. Each pedicle can support a segment of the muscle thus yielding multiple small flaps from a single, long muscle. Although it has often been split longitudinally along the fascicles of its nerve for functional transfer, it has rarely been split transversely to yield multiple muscle flaps that can be used to cover multiple wounds in one patient without subjecting him/her to the morbidity of multiple donor areas.

 
  • REFERENCES

  • 1 Zukowski M, Lord J, Ash K, Shouse B, Getz S, Robb G. The gracilis flap revisited: A review of 25 cases of transfer to traumatic extremity wounds. Ann Plast Surg 1998;40:141-4.
  • 2 Del Frari B, Schoeller T, Wechselberger G. Reconstruction of large head and neck deformities: Experience with free gracilis muscle and myocutaneous flaps. Microsurgery 2010;30:192-8.
  • 3 Vega SJ, Sandeen SN, Bossert RP, Perrone A, Ortiz L, Herrera H. Gracilis myocutaneous free flap in autologous breast reconstruction. Plast Reconstr Surg 2009;124:1400-9.
  • 4 Cordova A, D'Arpa S, Moschella F. Gracilis free muscle transfer for morpho-functional reconstruction of the lower lip. Head Neck 2008;30:684-9.
  • 5 Baker PA, Watson SB. Functional gracilis flap in thenar reconstruction. J Plast Recontr Aesthet Surg 2007;60:828-34.
  • 6 Berger A, Hierner R. Free functional gracilis muscle transplantation for reconstruction of active elbow flexion in posttraumatic brachial plexus lesions. Oper Orthop Traumatol 2009;21:141-56.
  • 7 Manktelow R.T. The gracilis muscle-myocutaneous flap. In: Serafin D, editor. Atlas of microsurgical composite tissue transplantation. 1st ed. Philadelphia: W.B. Saunders Company; 1996. p. 293-9.
  • 8 Schoeller T, Meire R, Gurunluoglu R, Piza-Katzer H, Wechselberger G. Gracilis muscle split into two flaps. J Reconstr Microsurg 2003;19:295-8.
  • 9 Macchi V, Vigato E, Porzionato A, Tiengo C, Stecco C, Parenti A, et al. The gracilis muscle and its use in clinical reconstruction: An anatomical, embryological and radiological study. Clin Anat 2008;21:696-704.