The Distally Pedicled Peroneus Brevis Muscle Flap Anatomic Studies and Clinical Applications

Flap reconstruction for soft-tissue defects with exposed hardware following deep infection after internal fixation of ankle fractures

“…Free flap transfers have been considered as the ideal coverage method for infected defects in the distal leg [3,5,7,11]; however, the actual contour of the ankle, allowing normal shoe wear with a functional bipedal ambulation, is difficult to normalise with bulky free flaps [26]. Recently, studies have reported successful results for soft-tissue reconstruction of the ankle with a distally based peroneus brevis flap [17,[28][29][30][31][32]. However, complete flap failure rates as high as 13% in the lower leg have been reported in patients with pre-flap infection [14].…”

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).…”

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

“…Distally based peroneus brevis flap was first described by Mathes and Nahai [2] and further characterized in detail by Eren et al [3] and Yang et al [4].…”