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.
KEY WORDS
Split gracilis muscle flap - gracilis flap - double muscle flap - one muscle two flaps
