Design of the Limberg flap by a specially designed ruler: A personal approach

Though the theoretical design and construction of the Limberg flap are very clear, practically, there are some difficulties in designing sides of equal length and forming precise angles of 60 and 120 degrees; therefore, flaps with unequal sides and unequal angles are very frequent. We devised special ruler templates for Limberg flap design and demonstrated their use in planning and reconstructing rhomboid defects and their combinations. The technique for designing the Limberg flap, using our ruler templates, is considerably simplified, allowing for fast reconstruction of rhomboid and hexagonal defects with 100 percent precision. The ruler can also be used for education and training in skin flap surgery.