Nayak Bibhuti Bhusan, Mohanty Nilamani
Department of Plastic Surgery, S. C. B. Medical College, Cuttack, Orissa, India.
Indian J Plast Surg. 2012 Jan;45(1):130-3. doi: 10.4103/0970-0358.96613.
Gracilis is a commonly used muscle for free tissue transfer. It is also split into two based on its pedicles and used as two units. Use of distal part as a free flap in isolation has never been described in literature. We describe a technique of harvesting a small unit of gracilis based on its minor pedicle and maintaining the continuity and conserving the major bulk of muscle. Thus, the function of the muscle is preserved and the same is also available for transfer on its major pedicle later, if required.
股薄肌是游离组织移植常用的肌肉。它也可根据其蒂部分为两部分,并作为两个单位使用。文献中从未描述过单独将其远端部分用作游离皮瓣。我们描述了一种基于其小蒂切取一小单位股薄肌的技术,保持其连续性并保留大部分肌肉。这样,肌肉的功能得以保留,如果需要,以后也可通过其主要蒂进行转移。