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- ArticleMcCraw JB, Fishman JH, Sharzer LA.Plast Reconstr Surg. 1978 Jul;62(1):15-23.The medial and lateral gastrocnemius myocutaneous flaps are described. Their usefulness, as direct flaps without a delay, in reconstruction of the lower extremity is described. In our practice, this flap has supplanted the cross-leg flap for most reconstructions in the lower extremity.