In recent decades, perforator flaps have transformed the field of reconstructive surgery [1]. Muscle-preserving techniques, such as super-thin flaps, have gained popularity in many centers to minimize donor site morbidity [2, 3]. Despite this, the use of free muscle flaps has declined compared to the 1990s and early 2000s [4]. However, there remains a significant need for muscle flaps, particularly for severe burn patients with limited donor sites [5]. Free muscle flap transfers to the extremities are more common compared to head and neck defects [6].