Application of distally based anterolateral thigh flap in a knee soft-tissue defect reconstruction (Case report)

Bone-exposed knee defects are a challenge for surgeons in choosing an appropriate reconstruction method. Distally based anterolateral thigh flap is a top option due to its texture and color which are quite similar to the knee region, its large size, and its sufficiently long pedicle. We report a clinical case of using a distally based anterolateral thigh flap in the reconstruction of a large soft tissue defect around the knee with exposed patella due to high-voltage electrical burns. The outcome is complete flap survival and good functional recovery, the flap donor site is covered by a split-skin graft, which heals during the early stages of healing.