Background: When tension at a cutaneous defect is too great for primary closure or causes distortion of surrounding anatomy, transposition flaps provide a useful reconstruction option.
Objective: To review the tissue biomechanics of the rhombic, bilobed, and trilobed transposition flaps.
Materials And Methods: A systematic evaluation of a cutaneous defect is provided to guide a logical approach to the design and execution of transposition flaps.
Results: Applying key principles to the design and execution of transposition flaps results in reliable outcomes.
Conclusion: Carefully designed and executed rhombic, bilobed, and trilobed transposition flaps provide an excellent reconstruction option when tension at a cutaneous defect is too great for primary closure.
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