Research Article

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

Table 2

Surgical characteristics of 23 wounds in 22 patients receiving gracilis flaps for sarcoma reconstruction, 1998 to 2017.

CharacteristicsN (%)Mean (range)

Perioperative radiotherapy19 (83)
 Preoperative11 (48)
 Intraoperative6 (26)
 Postoperative2 (9)
Presence of instrumentation1 (4.3)
Region of defect
 Leg9 (39)
 Dorsal foot5 (22)
 Plantar foot4 (17)
 Upper extremity4 (17)
 Head and neck1 (4.3)
Defect size, cm2118 (54–200)
Time to flap coverage
 Immediate (≤72 h after resection)19 (83)
 Delayed (>72 h after resection)4 (17)
Flap type
 Muscle18 (78)
 Myocutaneous5 (22)
Muscle flap size, cm2104 (40–200)
Fasciocutaneous island size, cm298 (54–160)
Tendon reconstruction5 (22)

One patient had a wound that affected the dorsal and plantar aspects of the foot. The mean length of the 22 muscle flaps was 15 cm (range, 9–22 cm), and the mean width was 6.7 cm (range, 4–10 cm).