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Page 6 of 11 Marsden et al. Plast Aesthet Res 2019;6:24 I http://dx.doi.org/10.20517/2347-9264.2019.14
A B
C D
Figure 4. Functional upper limb reconstruction with a combination of free functioning muscle transfer and nerve transfer for a right
forearm defect in a 68-year-old female, which involved resection of 15 cm of ulnar nerve and common flexor mass. A: free functioning
gracillis myocutaneous flap in position with the proximal muscle inset into proximal flexor digitorum profundus stump; B: close up image
demonstrating the anterior interosseous nerve to ulnar motor and lateral cutaneous nerve of the forearm to ulnar sensory nerve transfers;
C: result at one year showing excellent flap contour, no claw-hand deformity; D: good flexion of digits demonstrating reinnervation of the
gracillis muscle
Figure 5. Innervated rectus abdominis myocutaneous flap harvest with good length of intercostal nerve available through a standard
approach
