Figure 4.

The gracilis was harvested along with the anterior branch of the obturator nerve and its vascular supply. A skin paddle was designed to facilitate postoperative flap monitoring (a). The harvested gracilis was placed beside the left arm (b). The harvested gracilis was placed inside the left forearm (c). The anterior branch of the obturator nerve of the gracilis was anastomosed to the brachialis muscle branch of the musculocutaneous nerve (arrow indicates the site of the anastomosis) (d). Schematic diagram of the operation (e).