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Figure 3. Clinical images of an example of upper limb functional reconstruction with an innervated medial gastrocnemius myocutaneous flap, following left deltoid excision for recurrent sarcoma (previous partial deltoid resection and ALT flap). A: planned excision of previous ALT flap and remaining deltoid; B: defect following total deltoid resection, with exposed humerus; C: right medial gastrocnemius myocutaneous flap planning; D: flap islanded with its neurovascular bundle dissected prior to division; E: result at one year showing excellent flap contour; F: M5 power of shoulder abduction and flexion, equal to the contralateral side (see Video 4). ALT: antero-lateral thigh