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Even yet in cases of flap salvage, the fibula flap continues to be a dependable flap. This situation describes a fibula flap with a sole proximal myocutaneous perforator identified during dissection despite a normal preoperative Doppler.β-thalassemia significant (TM) is among the most prevalent inherited hemoglobinopathies in Pakistan. It offers one of several highest prevalence of transfusion-dependent TM patients globally, with an estimated greater than 100,000 active