Background A cross-leg flap can be used to treat severely injured lower limbs but associated with complications. Herein. we describe a technique of a parallel cross-leg free flap combined with posterior tibial artery perforator pedicle propeller cable bridge flap for the treatment of lower extremity wounds. Methods The artery and veins of the free flap are anastomosed to the contralat... https://www.roneverhart.com/Nef-Rune/