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Background:In the lower leg posttraumatic pathology, we are frequently confronted with tissue defects that are difficult to cover by local or distance means, because of either the poor tissue quality or the precarious local vessels. One of the still available methods for solving these cases remains the cross-leg flap. The authors will try to demonstrate the advantages of this method, by using the cross-leg flap based on perforator vessels.Methods:We are presenting two cases for which we practiced a cross-leg perforator flap, based on perforator vessels emerging from the posterior tibial artery.Results:The results were favorable, demonstrated by immobilization in a comfortable position, perfect flap integration, pedicle flap's division at 14–21 days, early postsurgery ambulation.Conclusions:The cross-leg perforator flap diminishes many of the disadvantages created by the classic cross-leg flap and can be successfully used in cases in which other procedures are prohibited.

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