Anteromedial thigh flaps are rarely used because they have several source vessels and the perforator may not exist. We preoperatively found the perforator of the branch of the rectus femoris muscle using color Doppler ultrasonography, and harvested the anteromedial thigh flap based on its perforator in 3 cases. The skin defects were located on the dorsal side of the great toe after toe transfer in 2 cases, and on the dorsal side of the thumb and ring finger after trauma in 1 case. The flaps used were a one-staged thinning flap in 1 case, a sensory flap in 1 case, and chimeric flaps, including an anteromedial thigh flap and a tensor fascia lata perforator flap, in 1 case. The perforator was observed on the midpoint of the thigh using color Doppler ultrasonography and intraoperative findings in all cases. All flaps survived, but sensory recovery was poor with the sensory flap.
