The location of secondary pedicles of gracilis muscle was investigated in 20 cadaver thighs. There were 2-4 (mean 2.2)secondary pedicles located 12 to 18 cm from the knee joint. The dominant secondary pedicle was a branch of the superficial femoral artery, 5-6 cm long and with a caliber of 1-2 mm. Angiography revealed extensive connection between the secondary and primary pedicles. A series of seven free flaps were performed for upper and lower extremity reconstruction. All flaps were successful. The flap can be elevated under tourniquete control, without interrupting the gracilis muscle.It is easy and fast to perform, the pedicle is of appropriate size, can be tailored to different sizes, and leaves very minor morbidity. This flap should be included in the reconstructive armamentarium.
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