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Evans et al. Plast Aesthet Res 2022;9:34 https://dx.doi.org/10.20517/2347-9264.2021.134 Page 9 of 14

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.

Figure 4. Flap selection algorithm for lower extremity reconstruction: Simple defects defined as wounds with healthy wound beds,
sufficient tissue laxity, and absence of exposed hardware, tendon, bone, or neurovascular structures. Complex defects defined as open
fractures, wounds with soft tissue deficit not amendable to primary closure, and wounds with gross contamination, exposed hardware,
bone, tendon, or neurovascular structures.

DECLARATIONS
Authors’ contributions
Primary author, performed review of manuscripts and organization of article flow: Evans BGA
Secondary author, provided administrative organization, editing and photographs for figures: Colen DL

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.