Perforator based flap coverage from the anterior and lateral compartment of the leg for medium sized traumatic pretibial soft tissue defects—a simple solution for a complex problem

Delayed bipedicled flap: An alternative and new method for reconstruction of distal leg defect after gunshot trauma: A case report and review of the literature

“…[9][10][11][12][13] Reverse flow sural flaps are indicated for reconstructing distal leg, foot ankle, and heel defects. The flap is advantageous because of being one step, being rapidly and easily dissected, short operation duration, and relatively bloodless surgery.…”

Peroneal artery perforator‐based propeller flap reconstruction of the lateral distal lower extremity after tumor extirpation: Case report and literature review

“…1,2 Reconstruction with local fasciocutaneous flaps is an ideal option because it provides the closest match to lost tissue in terms of skin color, durability, volume, and pliability. Local random pattern flaps are unreliable because of limited flap dimensions, a wide pedicle base restricting flap mobility, and relatively poor tissue laxity.…”

The 180-Degree Perforator-Based Propeller Flap for Soft Tissue Coverage of the Distal, Lower Extremity

“…Local muscle flaps are limited by reach and often sacrifice function. 4,5 Free tissue transfer is mandatory in many cases. 1 To reduce the associated donor-site morbidity to the involved extremity only, local flaps have been advocated.…”

“…[1][2][3] Muscle flaps are associated with a loss of function, as well as inadequate reach in the distal aspect of the lower extremity. 4,5 Pedicled perforator flaps have added interesting options for this area as several constant perforators of significant size allow reliable flap coverage. 1,6 A disadvantage is that these flaps are raised within the zone of injury and thus may have compromised perfusion.…”