AN ANATOMICAL STUDY OF GRACILIS MUSCLE & ITS ROLE IN CLINICAL RECONSTRUCTION SURGERIES

Abstract

Introduction: It is the most superficial of the adductor group of muscles. Gracilis muscle is used oftenly in reconstructive plastic surgery,because ofits reliable vascular and neurological pedicles and the minimal donorsite morbidity. Materials and Methods: The present study was conducted on 40 cadaveric lower limbs (22 males and 18 females) in the Deptartment of Anatomy of VIMS&RC.Metrical and non-metrical characteristics of gracilis muscle and vascular pedicles were analyzed. Results: All the parameter were more in males compared to females. distal tendon length was more than proximal tendon length. P value was significant in all the measurements. The ratios between various components of muscle remain fairly constant. Main vascular primary pedicle was arising from profund femoral artery in 60 % & 40% from Medial circumflex femoral artery .Presence of proximal secondary pedicle was only in 30% of the specimens arising from profunda femoral artery or Medial circumflex femoral artery. Distal secondary pedicles arising from 5% of femoral artery. Conclusion: These parameters will help the reconstructive surgeon in assessing the length of muscle belly or tendon available for reparative procedures before undertaking surgery like Anterior Cruciate Ligament graft, Restoration of sphincteric function in anogenital area, Repair of ano-vaginal or recto-vaginal fistulas, Facial rehabilitation, Upper limb and lower limb defects, Groin wounds and autologous breast reconstruction.