Reliable muscle flap in reconstructive surgery-An anatomical study on gracilis muscle, its motor nerve component with evaluation in the surgical approach of its tendon. Accessory band - a caution.

Autor: Thillai, Anitha, T., Preethi Ramya, T. S. R., Anjana, Jeevamani, Sheela Grace
Předmět:
Zdroj: Indian Journal of Basic & Applied Medical Research; Jun2021, Vol. 10 Issue 3, p73-81, 9p
Abstrakt: Background and objectives: The gracilis muscle is one of the most reliable flaps in reconstructive surgical procedures because of easy accessibility and insignificant donor site morbidity. In the present study, we evaluate the various dimensions of muscle, tendon, accessory band and the motor nerve to gracilis. Materials and methods: The present study was conducted in fifty cadaveric lower limbs from the Department of Anatomy, Government Kilpauk Medical College after obtaining clearance from the Institutional Ethics Committee. Apart from measuring the morphometric dimensions of the muscle, the ratio of length of the lower limb and thigh to length of gracilis muscle was observed. The motor nerve to gracilis was measured in two components. Results: The mean length of the muscle was found to be higher in males. The accessory bands did not exceed beyond 5cm from the distal tendon. The distance of NVH from the anterior border of the muscle was observed to be as low as 0.2cm. The distance of insertion from the tibial tuberosity ranged between 1.8 - 5.6cm. The vertical component of the distal tendon was higher in females. Conclusion: Owing to the increased utility of gracilis muscle in reconstructive surgeries, many studies have described the dimensions of the gracilis muscle. In addition to the aforementioned parameters, the present study also determined various parameters including the insertion point from tibial tuberosity, the distance of neurovascular hilus from the anterior border of muscle and measurement of the distal tendon in two components which would help the surgeons during procurement of muscle, tendon and the MNG for microsurgical procedures. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index