# Possibilities for revascularization and closure of wound defects in lower limbs with critical ischemia through free gracilis flap transfer: review of 3 cases

## TL;DR

This paper discusses using free gracilis flap transfers to treat lower limb wounds in patients with severe blood flow issues.

## Contribution

The study presents three clinical cases demonstrating revascularization through free gracilis flap transfer in patients with critical ischemia.

## Key findings

- Free gracilis flap transfer can aid in revascularization and wound closure in lower limbs with critical ischemia.
- The procedure showed both direct and indirect evidence of tissue revascularization in the presented cases.
- The advantages and limitations of using free gracilis muscle flaps are discussed based on clinical outcomes.

## Abstract

This article presents three clinical cases of lower limb revascularization with closure of trophic defects using free gracilis flap transfer; two patients with Buerger’s disease and one patient with type 2 diabetes mellitus. In these cases, we also describe and discuss direct or indirect evidence of indirect revascularization of ischemic tissues by means of the flap, as well as the advantages and limitations of the free gracilis muscle flap.