One of the most important goals in the management of severe open injury of the lower limb is to obtain adequate soft-tissue coverage which promotes adequate revascularization and good wound healing. Severe, lower extremity, soft tissue defects pose a significant challenge to the reconstructive surgeon and often require the placement of free flaps, which is a complex procedure. We report a case of 27-year-old male who came to us with the old fracture of both bones-right leg with chronic osteomyelitis and infected implant. After sequestrectomy and debridement, he had necrosis of overlying skin exposing the tibial shin. A bipedicled fasciocutaneous advancement flap was taken from the adjacent soft tissue and wound covered. Postoperatively wound healed well with good cosmetic result thus demonstrating the superiority of the conventional bipedicled advancement flap over other sophisticated methods of tissue transfer.