ABSTRACT
A cutaneo-subcutaneous flap based on the lateral superior genicular artery was anatomically
investigated and applied in three clinical cases. Consistent anatomy, a long vascular
pedicle, fairly easy dissection, primary donor closure, and minimal donor-site morbidity
are the most important advantages when a medium-sized flap is needed. The flap may
be used as a thin, delicate, free cutaneo-subcutaneous transfer for reconstruction
of skin defects. It may also be applied as an axial flap to cover defects of the popliteal
region.