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The free flap is a versatile option for reconstruction of soft tissue defects around the ankle. In patients with poor lower leg circulation, arterial insufficiency is one of the complications that can occur immediately after vessel anastomosis during free flap surgery. The authors were able to improve blood circulation in the flap by using modified turbocharging method in which another perforator was anastomosed to the distal end of the main pedicle., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (© 2024 Ha, Kim, Kwon, Kim, Song, Oh, Kim, Yang and Kyung.)