Divide the vastus lateralis and vastus intermedius muscles in the direction of their fibers and open and reflect the periosteum for the proper distance.
From Dec2001 to Jul2003, seven patients with defects over the lower extremity underwent reconstructions using a free vastus lateralis muscle flap.
Result Operation performed via posterior approach with quadrate muscle flap in 14 cases, anterior approach with sartorius muscle flap in 12 cases, and vastus lateralis flap in 16 cases.
