[Covering circular skin defects using 4 rhombic transposition flaps].

Based on Limberg's principles concerning the design of local flaps, S. B. Jugo developed a new technique for the closure of circular skin defects: The defect is divided into 4 quadrants; then 4 symmetrical rhombic flaps are raised from the surrounding skin, all pointing in the same direction of rotation. The sides of each flap correspond to the radius of the skin defect and form an angle of 68 degrees. Finally, the flaps are rotated into the defect and sutured to each other. This technique is especially useful with large lesions of the trunk.