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The transverse gracilis musculocutaneous flap. Ann Plast Surg 1992 Dec;29(6):482-90

Date

12/01/1992

Pubmed ID

1466543

DOI

10.1097/00000637-199212000-00002

Scopus ID

2-s2.0-0027087020   143 Citations

Abstract

Through detailed anatomical study and latex injection of 24 cadaver legs, the blood supply to the skin overlying the gracilis muscle was examined. The proximal pedicle entered the gracilis muscle 10 +/- 2 cm below the pubic tubercle. The dissections identified both septocutaneous and musculocutaneous perforators from the proximal gracilis pedicle. These branches had a pronounced tendency to travel in a transverse direction, supplying the cutaneous territory over the adductor longus and sartorius anteriorly and extending for > 5 cm beyond the posterior margin of the gracilis muscle. This information led to a "new" transverse design of the gracilis musculocutaneous flap, such that the vascular perforators are invariably included in the cutaneous portion of the flap. In contrast, the traditional design, because of skin mobility, may allow elevation outside the skin territory of the muscle perforators.

Author List

Yousif NJ, Matloub HS, Kolachalam R, Grunert BK, Sanger JR

Authors

Brad K. Grunert PhD Professor in the Plastic Surgery department at Medical College of Wisconsin
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Cadaver
Female
Heel
Humans
Mammaplasty
Middle Aged
Muscles
Skin
Surgical Flaps
Thigh
Wounds, Gunshot