Medial-Based Myofasciocutaneous Flap Above Knee Amputation

This is a case of a 62-year-old man with significant peripheral vascular disease who presented with chronic nonhealing full-thickness ulcerations along his right lower leg, now progressed to deep infection with systemic involvement. This review describes an above knee amputation with a medial-based myofasciocutaneous flap, which was chosen due to its dependency on the less-diseased vascular supply from the obturator artery. The anatomic dissection and myodesis technique are methodical and reproducible for all surgeons.