Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

Thammannagowda, Ramesha Kunchekoppal; Ashish, Ghuge; Mudukappa, Shankarappa; Pushkar, Dehpande; Vijayakumar, Abhishek

doi:10.1155/2014/969420

Cited by 6 publications

(7 citation statements)

References 25 publications

(27 reference statements)

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“…They recommended distally based peroneus brevis flap for small to medium defect for distal third of tibia, fibula, ankle and heel. Similar results were published by Thammannagowda et al 10 …”

Section: Discussionsupporting

confidence: 92%

Distally based peroneus brevis muscle flap: A single centre experience

Sahu

Gohil

Patil

et al. 2019

Chinese Journal of Traumatology

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Purpose Defects around the distal one third of the leg and ankle are difficult to manage by conservative measures or simple split thickness skin graft. Distally based peroneus brevis muscle flap is a well described flap for such defects. Methods This is a retrospective analysis conducted on 25 patients with soft tissue and bony defects of distal third of lower leg and ankle, which were treated using distally based peroneus brevis muscle flap from January 2013 to January 2018. Information regarding patient demographics, etiology, size and location of defects and complications were collected. All patients were followed up for at least 3 months after surgery. Results There were 21 males and 4 females with the mean age of 39 (5–76) years. The most common cause of injuries was road traffic accident, followed by complicated open injury. The average size of defects was 20 (4–50) cm 2 . The mean operating time was 75 (60–90) min for flap harvest and inset. We had no patient with complete loss of the flap. Five patients (20%) had marginal necrosis of the flap and two patients have graft loss due to underlying hematoma and required secondary split thickness skin grafting. Conclusion The distally based peroneus brevis muscle flap is a safe option with reliable anatomy for small to moderate sized defects following low velocity injury around the ankle. The commonest complication encountered is skin graft loss which can be reduced by primary delayed grafting.

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Section: Discussionsupporting

confidence: 92%

Distally based peroneus brevis muscle flap: A single centre experience

Sahu

Gohil

Patil

et al. 2019

Chinese Journal of Traumatology

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“…On comparing with these studies, it was found that flap tip loss, when used for medial malleolar defects, is well described, possibly due to the greater arc of rotation required and the resulting stretch [14,15].…”

Section: Table 2: Comparison Of Our Results With Similar Studiesmentioning

confidence: 99%

Surgical Outcome of Distally Based Peroneus Brevis Flap: A Retrospective Study

Jose¹,

Parameswaran²,

Rajappan³

et al. 2022

Cureus

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Background: This study aimed to evaluate the surgical outcomes of distally based peroneus brevis muscle flap in post-traumatic lower leg defects.Methods: This is a retrospective analysis conducted from February 2017 to May 2019 including six patients who had sustained post-traumatic lower leg critical soft tissue defects and were treated with distally based peroneus brevis muscle flap and primary skin grafting.Results: In five cases, the flap was successful in providing excellent soft tissue cover to the defects addressed. Partial flap loss was seen in one patient. Skin graft partial loss was seen in three of the six patients. There was no significant donor site morbidity.Conclusions: The distally based peroneus brevis muscle flap is a safe, easy, and reliable flap option for coverage of lower leg defects. The muscle flap also thins with time to provide a good aesthetic outcome.

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“…The prominent neurovascular structures included within the RSF are the sural nerve, superficial sural artery, and lesser saphenous vein. 21 The sural nerve is a cutaneous nerve that is typically formed from the merging of the medial sural cutaneous nerve and the lateral sural cutaneous nerve, which arises from the tibial nerve and common peroneal nerve, respectively. 22 The sural nerve can be found running between the 2 heads of the gastrocnemius muscle and descending into the deep fascia of the middle third of the leg.…”

Section: Anatomymentioning

confidence: 99%

Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap

Puneky,

Batchler,

Kollapaneni

et al. 2023

OTA International: The Open Access Journal of Orthopaedic Trauma

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Summary: Soft tissue defects involving the distal lower extremity present challenging problems for orthopaedic surgeons to manage. Historically, wounds not amenable to primary closure have necessitated assistance from multidisciplinary teams using plastic surgeons to obtain adequate soft tissue coverage through rotational flap or free tissue transfer procedures. Techniques related to soft tissue rearrangement and local rotational flap coverage have advanced over the years with a growing knowledge of local anatomy and vasculature. The reverse sural flap may be performed to cover soft tissue defects within 10 cm of the foot or ankle region, negating the need for microvascular intervention. The simplistic nature of the reverse sural flap is appealing to orthopaedic surgeons as a means to provide timely patient care without additional support because it does not require microvasculature work or the need for intraoperative microscopes and has been popularized among orthopaedic trauma surgeons as a necessary tool to possess. Here, we discuss the reverse sural flap to include history, relevant anatomy, clinical indications, and a description of the technique for application.

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Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

Cited by 6 publications

References 25 publications

Distally based peroneus brevis muscle flap: A single centre experience

Distally based peroneus brevis muscle flap: A single centre experience

Surgical Outcome of Distally Based Peroneus Brevis Flap: A Retrospective Study

Simplified soft tissue coverage of the distal lower extremity: The reverse sural flap

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