A 19-year-old man was involved in a motorcycle accident, resulting in soft tissue defects in his right lower leg. Orthopedic surgeons performed radical debridement of necrotic soft tissue and bone. Soft tissue reconstruction was essential to cover the resulting massive defect and salvage the limb (Figure 8A). First, a wide ALTP flap (25 x 15 cm2), supplied by three perforators from the DB-LCFA and one perforator from the TB-LCFA, was elevated from the contralateral thigh (Figures 8B,C). The turbocharging procedure was performed after the flap was transferred to the recipient site. The addition of one more perforator to the main pedicle, which already had three perforators, seemed to significantly restrict its mobility (Figure 8C). Therefore, after connecting the main pedicle to the anterior tibial vessels, we selected the appropriate side branch of the DB-LCFA and performed an anastomosis between the selected branch and TB-LCFA. The flap completely survived (Figure 8D) and the patient was able to ambulate naturally without assistance at the last follow-up.