Background: Soft tissue defects around knee joint are challenging for every surgeon. Due to varied causes of injury and peripheral crashed tissues, proper options to overcome catastrophe of exposed bone or implants, seems to be limited. Though, free tissue transfer is ideal, but availability of suitable recipient vessel is crucial. In such cases, perforator flaps are glooming.

Case Presentation: 2 severely injured lower limb patients were admitted. They underwent several orthopedic surgeries and wound care treatments without improvements. Plans were propeller perforator anterolateral and anteromedial flaps. Nourishing vessels detected by hand hold doppler and flaps raised successfully and covered the defects.

Conclusion: Nowadays, propeller flaps are well-known and lower limb is the right place to use such flaps to salvage more crashed limbs and exposed bones.