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Abstract The long fought battle about the preference of muscle versus fasciocutaneous flaps for the soft tissue reconstruction in extremities now seems to have been put at rest by the emergence of perforator flaps. These do not have the demerit of bearing fascia; hence there is no risk of shear forces hampering the reconstruction as with fasciocutaneous free flaps. In addition, provision of a skin paddle abates the need for a skin graft with free muscle flap over exposed bone that makes subsequent surgeries for internal fixation of such injuries much simpler and faster.(141) The TDAP flap has emerged as a workhorse flap for reconstruction of various soft tissue defects.(50) This flap is a popular perforator flap among reconstructive surgeons and it is the first flap choice in some clinics for the coverage of soft‑tissue defects. The advent of microsurgical techniques has allowed this versatile flap to be transposed to reconstruct soft‑tissue defects all around the body.(110) |