Welcome to International Journal of Anatomy and Research

Type of Article: Original Research

Year: 2015 | Volume 3 | Issue 4 | Page No. 1685-1688

Date of Publication: 31-12-2015

DOI: http://dx.doi.org/10.16965/ijar.2015.316

AN ANATOMICAL STUDY OF GRACILIS MUSCLE AND ITS VASCULAR PEDICLES

M.S. Rajeshwari * ¹, B.N. Roshan kumar ².

^*1 Professor of Anatomy, Department of Anatomy, Bangalore Medical College & Research Institute, Bangalore, Karnataka, India.
² Professor and Head, Department of Orthopaedics, RajaRajeshwari Medical College Bangalore, Karnataka, India.

Address: Dr. M.S.Rajeshwari, Professor of Anatomy, Department of Anatomy, Bangalore Medical College & Research Institute, Bangalore, Karnataka, India.
E-Mail: rajeswari.roshan8@gmail.com

Abstract

Background: Gracilis muscle being easily accessible and functionally a weak muscle is suitable for muscle graft to replace the damaged muscle in any part of the body. The length of the muscle, vascular pedicles and limited donor site morbidity helps the surgeon to plan accordingly. The muscle receives a number of vascular pedicles ranging from one to five. The source of these pedicles varies.
Material and Methods: The study was conducted on 36 formalin fixed lower limbs of both sexes of unknown age from the department of Anatomy, BMCRI,  Bangalore.
Results and Discussion: In 75% of limbs two vascular pedicles were seen  penetrating  the muscle at different levels and in 25% accessory pedicles were seen in the lower 2/3rd  of  the  muscle.
Conclusion: The findings suggest that the first vascular pedicle to the muscle is always constant in position accompanied by its venae comitans and branch from obturator nerve and is placed at a distance of 10.5cms±2cms from the pubic tubercle.
KEY WORDS: Gracilis Muscle, Vascular Pedicle,  Muscle Transplantation, Flap Reconstruction.

References

1. Shatari.T, Niimi.M. Fuiita.M. Kodaira.S.. Vascular Anatomy of Gracilis muscle, arterial findings to enhance Graciloplasty. Surg. Radiol. Anat, 2000;22(1):21-4.
2. Gray’s Anatomy ,Churchill  Livingstone, 38th edition. 2000, pg 874.
3. Iain.S.Whitaker et al. The Gracilis myocutaneous free flap, A Quantitative  Analysis of the fasciocutaneous blood supply & implications for Analogous Breast reconstruction. PLos ONE25/2012;7(5):e36367.
4. Enrico vigato et al. The clinical role of gracilis muscle; Pelviperineology  2007;26:149-151
5. M.Jurisic et al. Anatomic basis for use of gracilis muscle flap. Anatomic basis of Medical, Surgical, and Radiological Anatomy. Sept 1993;15(3):163-168.
6. Xiaochun An et al. Arterial Anatomy of the Gracilis muscle as determined by Latex injection & glycerin  transparency. Clinical Anatomy 2012;25;231-34.
7. Divya. N.Upadhyaya, Vaibav khanna, Surajit Bhattacharya, Sandeep Garg, Ramesh Kohli. The transversely split gracilis twin free flaps, Indian Journal of Plastic Surgery, 2010;43(2):173-76.
8. Huemer G.M, Dunst KM, Maurer .H and Ninkovic. M. Area enlargement of the gracilis muscle flap through microscopically aided intramuscular dissection, ideas and innovation. Microsurgery 2004;24(5);369-73.
9. P.Lorea, N. vercruysse, B.C.Coessens. Use of gracilis muscle free flap Reconstruction of chronic osteomyelitis of foot and ankle, Acta Orthopaedica Belgica, 2001;67-3.
10. AJ.Hussey, AJ Laing, Padriac James Regan, Annals  of plastic surgery, 11/2007;59(4):404-9.
11. Machi.V et al.  Gracilis muscle and its use in clinical  reconstruction.  An Anatomical, Embryological and Radiological study. 2008;21(7):696-704.
12. Harbans Singh,  Ramandeep Kaur,  Neena Gupta.  Morphometric study of  gracilis muscle and its role in clinical Reconstruction.  J.Anat.Soc.India.2011;60(2):202-206.
13. Dorothee Coquerel-Beghun et al. The Gracilis musculocutaneous flap, vascular supply of  the muscle and skin components, surgical and Radiological Anatomy 2006:28(6):588-95.

M.S. Rajeshwari, B.N. Roshan kumar. AN ANATOMICAL STUDY OF GRACILIS MUSCLE AND ITS VASCULAR PEDICLES. Int J Anat Res 2015;3(4):1685-1688. DOI: 10.16965/ijar.2015.316