[The perforator propeller flap]

The perforator flaps are increasingly used in reconstructive surgery. Among their many applications, propeller perforator flap technique is one of the most recent. It allows any part of the body to become a potential donor site for a perforator flap based on the Doppler tracing. The shape of the flap is adapted bespoke then it is turned like a propeller up to 180 degrees to fill the wound. The donor site is most often self-closing or grafted. We describe the principles, the operative technique and advantages of this method.