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Treatment Outcomes Following Reconstruction With a Modified Gracilis Free Flap.

Tavis Alexander Read1,2, George Castrisos1,2, Jay Wiper1,2

  • 1Department of Plastic and Reconstructive Surgery, Princess Alexandra Hospital, Brisbane, Australia.

ANZ Journal of Surgery
|November 28, 2025
PubMed
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This summary is machine-generated.

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The gracilette flap offers a reliable solution for complex reconstructive microsurgery, demonstrating low failure rates and minimal donor site morbidity. This modified gracilis free flap is effective for select patients with small defects.

Area of Science:

  • Microsurgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Complex defects from trauma, infection, or malignancy pose reconstructive challenges.
  • Evolving surgical techniques aim to minimize flap-related morbidity.
  • The gracilis free flap is a versatile tool in reconstructive microsurgery.

Purpose of the Study:

  • To evaluate treatment outcomes of reconstruction using a modified gracilis free flap, termed the gracilette.
  • To assess the reliability and safety of the gracilette flap in clinical practice.

Main Methods:

  • Prospective data collection from adult patients at Princess Alexandra Hospital.
  • Statistical analysis of patient demographics, clinical characteristics, and reconstructive features.
  • Primary outcome: free flap failure; Secondary outcomes: microvascular compromise, return to theatre, donor site complications.
Keywords:
free flapgracilismicrosurgeryreconstructionsurgical technique

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Main Results:

  • Eleven patients underwent reconstruction with the gracilette flap (June 2019 - December 2023).
  • No flap failures or acute microvascular complications were reported.
  • Two patients experienced donor site seromas; smoking predicted adverse outcomes.

Conclusions:

  • The gracilette flap is a reliable reconstructive option with consistent microvascular anatomy and low donor site morbidity.
  • This modified flap design offers versatile reconstruction for small volume defects.
  • Outcomes compare favorably with existing published treatment series.