A 73-year-old man was involved in a traffic accident and sustained substantial soft tissue injuries in the right lower leg (Figure 6A). Serial debridement to remove the devitalized skin and muscle resulted in extensive soft tissue defects. The necrotic bone was also removed and fixed with a plate by orthopedic surgeons after replacing the bone gap with antibiotic-loaded bone cement. A wide ALTP flap (28 x 12 cm2) was designed on the contralateral thigh for all exposed bones and plate coverage (Figure 6B). One perforator from the TB-LCFA and two perforators from the DB-LCFA were found during flap elevation. The turbocharging procedure was performed between these two types of perforators before flap harvesting because it was speculated that the main pedicle length would not be shortened after turbocharging (Figures 6C,D). Consequently, successful reconstruction was achieved with this turbocharged wide ALTP flap anastomosed to the anterior tibial artery in an end-to-end manner (Figures 6E,F). Additionally, the residual wound around the transferred flap and the donor site was covered with a split-thickness skin graft. The postoperative course was uneventful, without any severe complications. The patient could walk independently with a mild gait disturbance caused by stiffness of the ankle and knee joint at 30 months postoperatively (last follow-up).