Rectus femoris muscle and composite skin transplantation by microneurovascular anastomoses for avulsion of forearm muscles: a case report.

The first clinical use in man of the rectus femoris muscle, with overlying composite skin, as a free transplant by microneurovascular anastomoses to the upper extremity was done for traumatic loss of all digital and forearm flexors, which had been treated with primary flap coverage, and later, sural nerve grafts for the avulsed portions of the median and ulnar nerves.