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Within the thigh, the lateral and medial thigh flaps are Sort B fasciocutaneous flaps based on the perforating branches of the profunda femoris and superficial femoral arteries, respectively. Use the lateral thigh flap for coverage of ischial and trochanteric defects. Its pedicle is 5-6 cm lengthy, with a diameter of 1-1.5 mm. It may be designed over the lateral thigh between the better trochanter and knee with dimensions of 7 x 20 cm.
Use the medial thigh flap, which is 10 x 20 cm and has a pedicle of 2-four cm with a 1.5 mm diameter, for wounds of the abdomen, groin, and perineum. The posterior or gluteal thigh flap is based on the skin of the posterior thigh overlying the biceps femoris muscle. Its dimensions are approximately 12 x 30 cm. Its blood supply is the descending branch of the inferior gluteal artery, recognized halfway between the trochanter and ischium.
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