Traditionally, substance loss at the knee level is solved through skin grafts, cutaneous or fascio-cutaneous flaps or through medial o lateral gastrocnemius muscle flaps depeding on the location and deep of the defect. We highlight the increasing relevance of neurovasculariccd flaps, and specially in this region, of the saphenous flap, better in cases with minor infectious component, in which the indication would be muscular flaps. We present four clinical cases in which we used them to cover anterior tibial tuberosity and/or dehiscent of skin closure and collected during the 3 last years another two cases with cutaneous defect after tumoral resection. All have uneventful recovery. The follow-up period varied from 6 months to 3 years.

Traditionally, substance loss at the knee level is solved through skin grafts, cutaneous or fascio-cutaneous flaps or through medial o lateral gastrocnemius muscle flaps depeding on the location and deep of the defect. We highlight the increasing relevance of neurovasculariccd flaps, and specially in this region, of the saphenous flap, better in cases with minor infectious component, in which the indication would be muscular flaps. We present four clinical cases in which we used them to cover anterior tibial tuberosity and/or dehiscent of skin closure and collected during the 3 last years another two cases with cutaneous defect after tumoral resection. All have uneventful recovery. The follow-up period varied from 6 months to 3 years.