Anteromedial thigh flap







Crush injury left forearm with vascular injury and Radius fracture (Grade IIIb).
Initial debridement with vascular repair and External fixator application done.
Anteromedial thigh microvascular flap done to cover all the vital structures. 
Initially Anterolateral thigh flap was planned and after confirming and marking the perforator preoperatively by doppler surgery was posted.
Intraoperativey Perforator was too thin and too distal. The doppler signal preoperatively must have been a muscle perforator that is not communicating with the draining vessel
Intraoperatively Perforator for the Anteromedial thigh flap was found to be robust and plan was improvised to Anteromedial thigh flap.
A well settled flap post operatively.

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