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Fig. 1 | BMC Musculoskeletal Disorders

Fig. 1

From: Clinical outcomes of perforator-based propeller flaps versus free flaps in soft tissue reconstruction for lower leg and foot trauma: a retrospective single-centre comparative study

Fig. 1

A An open tibial shaft fracture in a 55-year-old man. After osteosynthesis with an intramedullary nail, a 45 × 25 mm soft tissue defect was left just above the fracture. B Ten days after the injury, the perforator of the posterior tibial artery was dissected in a skeletonized state and the perforator-based propeller flap was elevated. C The flap was rotated 180 degrees, and the donor site was closed without a skin graft. Slight congestion was observed at the tip of the flap after surgery, but the flap survived without any problems

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