Multiple-component tissue reconstruction of a complex dorsal foot wound through a single gracilis muscle donor incision

The authors describe the ability of the gracilis muscle to provide multiple tissue components - skin, muscle, nerve, and tendon-in the reconstruction of a complex dorsal foot wound resulting from a sarcoma resection, The defi cits of skin, deep peroneal nerve, anterior tibialis tendon, and dorsal ext ensor retinaculum were all reconstructed with the gracilis component flap t hrough one medial thigh incision. This case illustrates two important point s: (1)the gracilis flap is tremendously versatile and can serve as the dono r for multiple tissue components in complex reconstructions, and (2) donor site morbidity can and should be minimized even in complex reconstructions.