The gracilis (medial circumflex femoral) perforator flap: a medial groin free flap?
The superior medial thigh skin territory has previously been successfully transferred as a free flap as part of a gracilis musculocutaneous flap. However, muscle bulk can be avoided and its function preserved by instead retaining only the musculocutaneous perforators arising from the gracilis pedicle like in a true perforator flap. A clinical example of this new perforator flap is described as the gracilis (medial circumflex femoral) perforator flap. This could become an ideal skin flap because no muscle is included, a well-defined segment of skin can be reliably harvested, closure of the donor site leaves a scar in the groin that can be readily concealed, and its dominant vascular pedicle is consistent in location and already familiar to most reconstructive surgeons.
Published In/Presented At
Hallock GG. The gracilis (medial circumflex femoral) perforator flap: a medial groin free flap? Ann Plast Surg. 2003 Dec;51(6):623-6. doi: 10.1097/01.SAP.0000067961.05231.11. PMID: 14646663.
Medicine and Health Sciences
Department of Surgery