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Address for correspondence: Dr. Ramesh Kumar Sharma, Department of Plastic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh – 160 012, India. E mail: drsharmark@yahoo.com Commentary 2001;17:147-50. 21. Li Z, Liu K, Lin Y, Li L. Lateral sural cutaneous artery island fl ap in the treatment of soft tissue defects at the knee. Br J Plast Surg 1990;43:546-50. 22. Hasegawa M, Torii S, Katoh H, Esaki S. The distally based superfi cial sural artery fl ap. Plast Reconstr Surg 1994;93: 1012-20. 23. Koshima I, Itoh S, Nanba Y, Tsutsui T, Takahashi Y. Medial and lateral malleolar perforator fl aps for repair of defects around the ankle. Ann Plast Surg 2003;51:579-83. 24. Ogun TC, Arazi M, Kutlu A. An easy and versatile method of coverage for distal tibia soft tissue defects. J Trauma 2001;50: 53-9. 25. Rajacic N, Gang RK, Krishnan J, Kojic S. Lower leg reconstruction using distally based saphenous island fl ap. Eur J Plast Surg 2001;24:7. 26. Niranjan NS, Price RD, Govilkar P. Fascial feeder and perforatorbased V-Y advancement fl aps in the reconstruction of lower limb defects. Br J Plast Surg 2000;53:679-89.

Perforator plus flap: Evolution of the concept and its place in plastic surgeons repertoire