Fig. 4From: Predictors of the surgical outcome of propeller perforator flap reconstruction, focusing on the effective safe distance between the perforator and the wound edgePhotographs illustrating the propeller flap operative technique with double pivoting using a posterior tibial artery perforator in a 58-year-old man. A, B, C Post-debridement of the necrosis of the distal third of the posterior leg. D Defect with standard marking and perforator location. E, F, G Insetting the flap into the leg defect using the pedicled propeller flap technique. H, I Partial flap necrosis at 3Â weeks postoperatively. J, K Split-thickness skin grafting performed after debridement. L A good result at 14Â months postoperativelyBack to article page