Comparison between distally based peroneus brevis and sural flaps for reconstruction of foot, ankle and distal lower leg: An analysis of donor-site morbidity and clinical outcome

Complications in ankle fracture surgery

“…Soft-tissue defects around ankle are demanding to treat due to a fragile subcutaneous vascular network, thin soft-tissue coverage, and limited elasticity of the local skin (Kneser et al 2011, Vaienti et al 2012a). When planning a flap reconstruction for wounds around ankle, the patient's vascular status must be carefully determined with palpation of pulses, doppler ultrasound, and sometimes even with angiography (Levin 2001).…”

“…Elevation of the distally based peroneus flap does not require elaborate microsurgical skills (Yang et al 2005, Bach et al 2007, Kneser et al 2011, and successful results for soft-tissue reconstruction of the ankle have been reported with this flap (Koski et al 2005, Yang et al 2005, Bach et al 2007, Lorenzetti et al 2010, Kneser et al 2011. Distally based peroneus brevis flap has been recommended as a first-line procedure for small-to medium-sized defects in malleolar region, since patients managed with sural flaps have higher complication rates (Kneser et al 2011). A distally based sural flap could be used for extended skin defects, especially when a larger arc of rotation is required (Akhtar and Hameed 2006, Rios-Luna et al 2007, Xu and Lai-Jin 2008, Kneser et al 2011.…”

“…Distally based peroneus brevis flap has been recommended as a first-line procedure for small-to medium-sized defects in malleolar region, since patients managed with sural flaps have higher complication rates (Kneser et al 2011). A distally based sural flap could be used for extended skin defects, especially when a larger arc of rotation is required (Akhtar and Hameed 2006, Rios-Luna et al 2007, Xu and Lai-Jin 2008, Kneser et al 2011. Recently, local propeller flaps have been introduced as another possible tool for soft-tissue reconstruction around the ankle (Jakubietz et al 2007, Jakubietz et al 2012.…”

Complications in ankle fracture surgery

“…The use of a distally based peroneus brevis flap was reported a decade later by Eren et al (Eren et al 2001). Elevation of the distally based peroneus flap does not require elaborate microsurgical skills (Yang et al 2005, Bach et al 2007, Kneser et al 2011, and successful results for soft-tissue reconstruction of the ankle have been reported with this flap (Koski et al 2005, Yang et al 2005, Bach et al 2007, Lorenzetti et al 2010, Kneser et al 2011. Distally based peroneus brevis flap has been recommended as a first-line procedure for small-to medium-sized defects in malleolar region, since patients managed with sural flaps have higher complication rates (Kneser et al 2011).…”

An alternative method to free flap for distal leg and foot defects due to electrical burn injury: Distally Based Cross-Leg Sural Flap

“…[14] Posterior crural based local flaps can be used in the lower leg defect repairs when microsurgery is not considered. [13,25] One of the most useful crural based flaps is DBSF. It has been used for the reconstruction of the distal portion of lower leg and feet defects since its original description by Masquelet et al [26] Basically, DBSF's blood supply comes from peroneal perforators and small extrinsic vessels around the sural nerve and some branches of the lesser saphenous vein.…”