Free Gracilis Muscle Flap for Sarcoma Reconstruction: 19 Years of Clinical Experience

Figure 1

(a) A 19-year-old man presented with a high-grade fibromyxoid sarcoma of the elbow. Wide local excision produced this soft-tissue defect. (b) With elbow flexion, the wound is seen to increase in surface area, and underlying nervous structures are made more vulnerable. (c) A free gracilis myocutaneous flap was designed and harvested with a 15 × 8 cm fasciocutaneous island to cover the defect. At 11 months after surgery, there is excellent cosmesis and complete healing from a (d) medial, (e) lateral, and (f) anterior angle.

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