fig2

Figure 2. Perforator flap for lower extremity reconstruction. (A) Pre-operative markings of an anterior lateral thigh (ALT) flap based on three perforating vessels from the descending lateral femoral circumflex pedicle. (B) ALT fasciocutaneous flap with dissected perforating vessels. (C) Large skin paddles can be successfully elevated based on perforators for the reconstruction of soft tissue defects in the lower extremity. (D) ALT flap inset with preferential end-to-side anastomosis.