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Intra-operative photographs. (Left) Operative exposure. (Right) After transposition of the anterior branch of the obturator nerve to femoral branches to rectus femoris, the soft tissue defect is covered with a rotation of muscular flap.
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Femoral arteries were reconstructed with a vein graft (great saphenous vein harvested from the controlateral lower limb), and soft tissue defect was covered with a rotational muscular flap (tensor fasciae latae muscle) and split-thickness skin grafts harvested from the antero-lateral aspect of the controlateral thigh (Fig. 1).
Post-operative photographs 1 year after surgery.
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At one year post-operatively, there was clear evidence of active leg extension and hip flexion (Fig. 2).