ABSTRACTThe use of local perforator-based flaps for reconstruction of soft tissue defects of the lower extremity is a simple and safe alternative to the more complex and timeconsuming microsurgical reconstructions. This has been made possible through better understanding of the cutaneous circulation and local vascular anatomy and innovations in flap design. This review describes the evolution, technique, and modifications of pedicled perforator-based flaps, particularly in the reconstruction of posttraumatic …
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