fig3

Figure 3. Propeller flap for local flap reconstruction of a lower extremity soft tissue defect. (A) Isolated propeller flap based on a perforator from the posterior tibial vessels for the reconstruction of an anteromedial soft tissue defect. (B) Raised propellor flap with isolated perforating vessels. (C) 90-degree rotation of flap with a successful inset for coverage of anteromedial defect. The donor site can be covered with a split-thickness skin graft or dermal matrix at the time of inset.