RESUMEN
Introduction: Reconstruction of simple or complex woundsof the lower one third limb is a challenge for reconstructivesurgeons. Various local Fasciocutaneous, Musculocutaneousand free flaps have been described for reconstruction withtheir own merits and demerits. The perforator-based propellerflaps, harvested around a perforator pedicle by means of therotation of skin paddle, up to 1800 are now currently usedtechnique to cover the tissue loss in the lower extremities.There is no sacrifice of major blood vessel. The aim of thisstudy was to assess the versatility and reliability of the use ofpropeller flaps for leg defectsMaterial and Methods: 20 Patients with traumatic lower limbdefects of various sites and sizes treated in the Department ofPlastic Surgery, Gandhi Hospital, Secunderabad, during theperiod 2010 – 2013 were included in the study. A suitablesized perforator close to the defect was identified by hand heldHunt Leigh Doppler in all the patients.Results: Of the 20 patients 90% were males and commonestaetiology was trauma, 65% of the defects were in lower thirdlimb and our success rate is 70%.Conclusions: The perforator-based propeller flap adds newarmamentarium of reconstructive surgeons. This is a simpleversatile technique and is less time consuming with no donorsite morbidity. It is ideal for reconstruction of small-to mediumsize defects of distal leg and ankle region with good cosmetic,excellent colour, match