Modification of the skin incision to allow versatility in placement of the skin paddle when raising a fibular osteocutaneous flap

A simple modification to the skin incision in raising the fibular osteocutaneous flap allows the skin paddle to be centred on the best available peroraters running through the posterior intercrural septum into the flap. This maximises the success rate for reperfusion of the skin paddle following vascular anastamosis at the recipient site.