Indian Journal of Plastic Surgery
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 IDEAS AND INNOVATIONS
Year : 2010  |  Volume : 43  |  Issue : 2  |  Page : 173--176

The transversely split gracilis twin free flaps


1 Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar, India
2 Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar; Department of Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, Lucknow, India
3 Department of Plastic, Reconstructive and Aesthetic Surgery, Sahara Hospital, Lucknow, India
4 Department of Orthopedic Surgery and Joint Replacement, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar; Department of Orthopedic Surgery and Joint Replacement, Sahara Hospital, Lucknow, India

Correspondence Address:
Divya N Upadhyaya
Department of Plastic, Craniofacial and Microsurgery, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekananda Puri, Mahanagar, Lucknow
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.73435

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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 .






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