A pedicled flap is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a nearby recipient site with an intact blood supply. This is distinct from a graft, which does not have an intact blood supply and therefore relies on growth of new blood vessels. Pedicled flaps can be converted to free flaps depending on the needs of the reconstruction.
Gastrocnemius Muscle Flap
The medial gastrocnemius muscle flap is not usually harvested as a free flap. However, it can be and in addition microsurgical techniques can greatly enhance the mobility and length of the flap when used locally. Rather than a distant free flap, it can be used as a local free flap.
All images and links used with permission from Dr. Rudy Buntic.