Reconstructive SurgeryFreestyle Propeller Flaps to Reconstruct Defects of the Posterior Trunk A Simple Approach to a Difficult ProblemOh, Tae Suk MD*; Hallock, Geoffrey MD†; Hong, Joon Pio MD, PhD, MMM*Author Information From the *Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; and †Department of Plastic Surgery, Lehigh Valley Health Networks, Allentown, PA. Received October 8, 2010, and accepted for publication, February 12, 2011. Conflicts of interest and sources of funding: none declared. Reprints: Joon Pio Hong, MD, PhD, MMM, Department of Plastic Surgery, Asan Medical Center, Songpa-gu, Poongnap-2-dong, 388–1, Seoul 138–736, Korea. E-mail: [email protected]. Annals of Plastic Surgery: January 2012 - Volume 68 - Issue 1 - p 79-82 doi: 10.1097/SAP.0b013e3182157940 Buy Metrics Abstract The reconstruction of complex defects of the back remains difficult. However, a local skin flap alone based on a competent single perforator can have a large skin territory with an efficient arc of rotation as a propeller flap to cover many back wounds, while the donor site can still be closed primarily. Eleven patients with defect sizes ranging from 36 to 264 cm2 underwent coverage of posterior trunk defects using propeller flap (rotated perforator flaps), and all the donor sites were primarily closed. The average number of perforators within the flap was 1.4. All flaps healed uneventfully except for 1 case in which congestion was noted; leech was applied and the flap healed well. Radiation therapy was done in 1 case and was uneventful. The freestyle perforator propeller flap can be a reliable and a simpler solution to reconstruct a difficult defect while achieving minimal donor site morbidity. © 2012 Lippincott Williams & Wilkins, Inc.