Fig. 3

Photographs illustrating the propeller flap operative technique. A, B Photographs showing the skin defect overlying the fracture and the markings for the posterior tibial artery propeller flap. C Tracing of the perforator using a Doppler device. D Color of the flap before the 180-degree rotation. E Final defect coverage with the propeller flap, showing primary donor site closure and full-thickness skin grafting. F A good result at 12 months postoperatively