The paper try to demonstrate some of the advantages and disadvantages in using local perforator flaps in upper limb. Because these flaps need a microsurgical dissection, but do not need microvascular sutures, they could be defined as "microsurgical non-microvascular flaps".A perforator flap is a cutaneous or fasciocutaneous flap, blood supplied by one or more perforator vessels, branches of main axial vessels of the body and which, on their way, pass through the muscular body or muscular septum,. Because the blood supply of those flaps is ensured by musculocutaneous or fasciocutaneous perforator vessels2"9, .flaps' harvesting generate a lower donor site morbidity . We will present some anatomical, tactical and technical features and their clinical applications.
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