“…[18][19][20] In these publications, the authors describe a total of nine cases of transfixing defects caused by gunshot wounds, in all the cases the reconstructions is carried out with a musculocutaneous free flap, the most commonly used flap being the gracilis. [18][19][20] The tridimensional reconstruction that we report is bigger than most of the ones found in the literature. We agree with other authors that the gracilis myocutaneous flap provides sufficiently bulky, pliable, and well-irrigated tissue that allows to cover both sides of the foot; furthermore, the bulk of the muscles occludes the dead space and allows weight-bearing and walking without the need for osseous reconstruction.…”