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Figure 2. Example of lower limb functional reconstruction with functional muscle transfer, nerve grafts and nerve transfers in a 30-year-old female. A: large defect to left groin following excision of sarcoma, which included femoral nerve and iliopsoas and sartorius muscle resection, also demonstrating exposed femoral artery and vein; B: nerve grafts performed using cutaneous femoral nerve branches, from proximal stump to quadriceps branches; C: pedicled, innervated rectus femoris myocutaneous flap raised prior to inset to reconstruct hip flexors; D: adductor longus nerve transfer to vastus medialis oblique branch; E: final result after inset and closure; F: patient had full return of hip flexors and quadriceps function, and was able to run, climb and descend stairs at 18 months (see Videos 2 and 3)