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Othman et al. Plast Aesthet Res 2022;9:21 https://dx.doi.org/10.20517/2347-9264.2022.03 Page 7 of 10

Figure 1. Search strategy, results, and screening.

Vessel selection
Even when the appropriate flap is selected, there is a question regarding the selection of the appropriate
recipient vessel. In this study, the anterior tibial and posterior tibial arteries were the most commonly
chosen. The choice of selection will in part be dictated by vessel injury, anatomy of the defect, and zone of
injury [37,38] . The posterior tibial vascular bundle is likely to be “safer” from injury given its deep course, and
may be suitable as a rescue vessel even when not anatomically favorable; however, some have argued that
anastomosis to injured vessels may still be pursued [38,39] . However, in specific regard to the posterior tibial