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Reconstruction of the axilla by perforator-based propeller flap

Rehabilitation of contracted axilla is hard for reconstructive surgeons. This difficulty arises from severe joint stiffness, splinting difficulty, and multiple recurrence rates with insufficient care. The anterior and posterior folds of the axilla stretched during full shoulder joint abduction, which requires good cutaneous gliding capacity at the shoulder joint area. The lateral aspect trunk skin also moves upwards. Management of these contractures at the axilla must regain these possibilities of gliding [2].