Muscle conserving free gracilis transfer (mini-gracilis free flap)

Nayak, Bibhuti Bhusan; Mohanty, Nilamani

doi:10.4103/0970-0358.96613

Cited by 5 publications

(1 citation statement)

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“…It is supplied by the anterior division of obturator nerve and it has been its vascular anatomy has been described in the literature that the vascular anatomy follows the type II pattern. [14] Only few structural and morphometric studies of this muscle have been conducted. [15][16][17] The mean length of the fleshy part of Gracilis in our study came out to be 29.5±3.0 cms.…”

Section: Discussionmentioning

confidence: 99%

The Quantified Human Gracilis-A Guide to Improve Aesthetic and Functional Outcomes

Kaur¹,

Agnihotri²,

Sharma³

2015

Aanat

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Background: A functioning gracilis muscle is considered the ideal flap to improve the functional/aesthetic outcome with minimal donor site morbidity. This graceful and slender muscle with special attributes is increasingly being used for covering soft tissue defects, repair of urogenital fistulas and restoration of anal function. Only some studies describing the quantification of this muscle are available and population attributes of the muscle have not been taken into consideration. The present study quantifies the human gracilis muscle in a North Indian population. Methods: The morphometry of gracilis was studied in 50 inferior extremities obtained from 25 phenol embalmed adult North Indian cadavers with known age and sex. The length and width of the aponeurotic origin, the length of the muscle belly, length of the distal tendon of insertion were measured. The muscle, tendon ratios were derived. Results: The mean estimates for various morphological features of gracilius muscle were standardized for North Indians. All the origins and insertions for the muscle correlated with the standard textbook descriptions. No variation was found from a standard textbook pattern in the present sample. The reconstructive procedures should take the local population profile into consideration. Conclusion:The results will aid the clinician in choosing an appropriate muscle and tendon lengths in surgeries. This definitely will lead to better functional and aesthetic outcomes in restorative procedures.

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Section: Discussionmentioning

confidence: 99%