Extensive wounds of the knee region have previously mandated utilization of a local muscle or free flap to achieve healing. The recent successes of fasciocutaneous flaps in the lower leg region have been extrapolated for use of local, randomly oriented anteromedial or anterolateral knee flaps in addition to previously described posterior calf flaps; results have been equally acceptable as the standard established by muscle flaps for knee coverage. For small- or moderate-sized noncontaminated parapatellar wounds, less morbidity has been observed using instead these simple local knee fasciocutaneous flaps.