Propeller flap in post-traumatic lower limb defects aim: To describe indications and results obtained in distal lower leg post traumatic reconstruction using pediculated perforator propeller flap. Patients and methods: Prospective series of consecutive patients treated with propeller flaps between March 2011 and March 2014. Patient's characteristics, defects and flaps characteristics and post operative complications were recorded. Descriptive statistical methods were used in this study. results: Eight patients were included with a median age of 40 years. The injuries were caused by degloving (one case) and fractures (seven cases), including four calcaneal fractures, two open tibial fractures and one ankle fracture. Three cases were reconstructed with posterior tibial artery pedicled perforator flaps, and five cases with peroneal artery perforator flaps. The median average area of the flaps was 55.8 cm 2 (range 40-117.8 cm 2). Coverage was achieved in all cases. no total flap necrosis was reported. discussion: Propeller flaps are a useful tool in reconstruction of medium size defects of the distal third of the lower limb. They allow primary closure of the donor site and have a low rate of complications.

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