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Fig. 8.9. Rectus abdominis flap.

Continue the dissection above the pedicles to separate the TFL from the underlying gluteal muscle. The upper incision is then completed, the muscle transected, and the flap prepared for microvascular transplantation.

Communications between the origin of the muscle and the outer lip of the anterior iliac crest allow transplantation of the muscle with vascularized bone. The flap can be transferred as a functional unit and can be useful for foot and lower leg

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