Flap reconstruction of the knee: A review of current concepts and a proposed algorithm

Figure 2 A 24-year-old man suffered from skin and soft tissue defect over the right knee with exposure of the patella that was managed with a distally based anterolateral thigh flap. A: An anterolateral thigh flap was designed; B: The distally based flap was elevated, based on 2 perforators (arrowheads). Note the 20 cm length of the pedicle (perforator and descending branch of LCFA), as well as, the preservation of the proximal end of the LCFA (arrow) that was added to the flap; C: Satisfactory healing and contour achieved.