The "extended pedicle" gastrocnemius free muscle flap

S. L. Merten, Philip D. Rome, H. S. Stern, D. G. Pennington

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


The free gastrocnemius muscle flap is, in many ways, an excellent choice for reconstruction requiring free muscle transfer. Each head is a large, broad muscle, usually with a single dominant artery and vein of reasonable diameter, and the donor site is acceptable both cosmetically and functionally. However, the short vascular pedicle limits its application as a first-choice free muscle flap. We have described our experience with pedicle lengthening by intramuscular dissection, which resulted in a final length of up to 10 cm and greatly increased the applicability of the flap. We presented two clinical cases demonstrating the use of the flap and discussed its benefits and shortcomings.

Original languageEnglish
Pages (from-to)204-209
Number of pages6
JournalPlastic and Reconstructive Surgery
Issue number1
Publication statusPublished - Jul 2003

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