Morphology of gracilis muscle and the topographic anatomy of its neurovascular pedicles

Gracilis

is often utilized as a graft in the procedures of reconstruction and functioning

muscle transfe¹.1 It is excellent for the closure of recto-vaginal

and rectourethral fistulas. The distal pedicle is used during the total

knee arthroplasty as a soft tissue gr^2,3.2,3 It also has wider

application in the management of wounds of the groin, contractures, scars,

reanimation of the^4,5ce,4,5 reconstruction of the mammary ⁶land,6and anterior cruciate ligament reconstru⁷tion.7 Additional

harvesting of the gracilis has proven to offer better post-operative functional

activity like in hamstring⁸injury.8 The

main vascular pedicle of gracilis is from the medial and lateral circumflex

femoral arteries, which branch from the deep femoral artery, which enters the

gracilis at the junction of its upper and middle third. Distal part of the gracilis

is supplied by the fe⁹oral artery9.

Gracilis - Protocol.docx