{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:58:20Z","timestamp":1774551500490,"version":"3.50.1"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Free functional gracilis transfer is a technique for restoration of upper extremity function following brachial plexus injury, as well as muscle loss from traumatic, oncologic, and congenital causes. However, when used for the latter applications, a functional muscle as well as large skin paddle can be required. Historically, skin paddle size was limited by venous outflow of the gracilis flap, using 1 or 2 venae comitantes, and large unreliable skin paddles resulting in partial necrosis. Therefore, to restore form and function, we herein present a technique of free functional gracilis muscle harvest with inclusion of adjacent greater saphenous vein for inclusion of a large skin paddle with 2 venous drainage systems.<\/jats:p>","DOI":"10.1097\/bth.0000000000000437","type":"journal-article","created":{"date-parts":[[2023,5,23]],"date-time":"2023-05-23T09:00:06Z","timestamp":1684832406000},"page":"194-198","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Form and Function: Technique for Free Functional Gracilis Harvest With Greater Saphenous Vein for Large Skin Paddle"],"prefix":"10.1097","volume":"27","author":[{"given":"Alexander","family":"Graf","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2814-8950","authenticated-orcid":false,"given":"Akinade","family":"Ojemakinde","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachin","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopeadic Surgery, University of Pennsylvania Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole A.","family":"Zelenski","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. 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