Ryer EJ, Garvin RP, Kapadia RN, et al. - Clinical data between 2012 and 2018 were retrospectively investigated by the researchers with an intention to report the experience of vascular surgeons performing rectus femoris muscle flap (RFF) in the management of wound complications following femoral artery reconstructions. A total of 23 patients who underwent 24 RFFs for coverage of complex groin wounds following femoral artery reconstructions were recruited. Out of the 24 RFFs, 14 were constructed in patients with reoperative groin surgery leading to the need for muscle flap coverage. Femoral endarterectomy was the most prevalent index procedure, followed by infrainguinal leg bypass surgery and aortobifemoral bypass. Microbiology data determined 33% of patients (n = 8) to have gram-positive bacterial infections alone, 21% (n = 5) to have gram-negative infections alone, and 29% (n = 7) to have polymicrobial infections and four patients with negative intraoperative culture data. In 20 of 24 limbs undergoing RFF, major amputation was bypassed. Eight patients underwent intentional graft or patch explantation prior to RFF, whereas 14 of the remaining 15 patients had successful salvage of the graft or patch following RFF. Two of the patients (13%) who underwent RFF with the intention of salvaging a prosthetic graft or patch later needed graft excision. Thus, with excellent outcomes, RFF coverage of complex groin wounds subsequent to femoral artery reconstructions could safely be done by vascular surgeons.