Vascularization of the peroneal muscles

Villarreal, Pedro; Monje, Florencio; Gañán, Yolanda; Junquera, Luís; Morillo, A.

doi:10.1016/j.ijom.2004.01.025

Cited by 16 publications

(4 citation statements)

References 20 publications

(31 reference statements)

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“…According to Shindo et al, compartment syndrome begins with tissue injury and muscle ischemia and can occur after bula and bular vessel harvesting (32). It can result from any injury to the muscular branches of the FL and FB (33). In harvesting of the FB, the perforators coming from the bular artery were used mostly (5).…”

Section: Discussionmentioning

confidence: 99%

The Vascular Supply to the Lateral Compartment of the Leg with Emphasis on Fibular Graft Harvesting

Apaydin,

Balci,

Kendir

et al. 2024

Preprint

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Purpose The aim of this study is to determine the exact locations of vascular pedicles that supply the fibularis longus and brevis, to identify the morphometric features of those vessels in the lateral compartment of the leg, and to indicate the branching points of the pedicles from the main arteries. Methods The popliteal arteries of 40 lower limbs from 20 adult cadavers (12 males, eight females) were injected with colored latex bilaterally. Following dissection, the branches were counted, and the distances between the apex of the head of the fibula and the branching points of pedicles from the anterior tibial, fibular, and posterior tibial arteries that supply the fibularis longus and brevis were measured. Results In all cases, a single artery coursing in the lateral compartment of the leg was identified; it was a branch of the anterior tibial artery and it supplied the proximal and middle thirds of the fibular muscles anteriorly. The mean distance between the origin of this artery and the apex of the fibular head was 8.65 cm. Its mean length was 10.9 cm and the mean number of its branches was 4.7. In all specimens, the fibular artery supplied the proximal and distal portions of the fibular muscles posteriorly. Conclusions In this study, the morphometric properties and branching patterns of the axial pedicle of ATA, which runs longitudinally in the lateral compartment and branches to the FL and FB, are described in detail for the first time. We propose that this artery be named the lateral fibular artery. If this nomenclature is accepted, the fibular artery can be renamed the posterior fibular artery.

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Section: Discussionmentioning

confidence: 99%

The Vascular Supply to the Lateral Compartment of the Leg with Emphasis on Fibular Graft Harvesting

Apaydin,

Balci,

Kendir

et al. 2024

Preprint

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“…The average distance of the distal pedicle from the tip of the lateral malleolus was 6.7 cm (range, 3.5–12.0 cm). Villarreal et al 18 described 2 principal source arteries: the anterior tibial artery and peroneal artery, which supply the muscles. The anterior tibial artery is the dominant artery and supplies the proximal and middle thirds of these muscles.…”

Section: Anatomical Considerationmentioning

confidence: 99%

Open-book Splitting of a Distally Based Peroneus Brevis Muscle Flap to Cover Large Leg and Ankle Defects

Moktader

2015

Plastic and Reconstructive Surgery - Global Open

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Background:Large soft-tissue defects in the lower leg and ankle are a major problem for plastic surgeons. Many local flaps that are either proximally or distally based have been previously described to cover small defects. Larger defects may require a distant flap that is either pedicled or free. The peroneus brevis muscle flap is a well-known distally based safe flap that is used to cover a small defect.Methods:Ten distally based peroneus brevis muscle flaps were elevated in 10 patients (8 males and 2 females) with major lower third leg and ankle defects that were 6–12 cm in length and 6–10 cm in width, with open-book splitting of the proximal portion of the muscle to cover these large defects.Results:Flap survival was excellent, and partial skin graft loss in two cases healed with dressing. The average flap length was 10 cm, ranging between 6 and 12 cm. The average flap width was 8 cm, ranging between 6 and 10 cm. The donor site also healed uneventful.Conclusions:Open-book splitting of the distally based peroneus brevis muscle flap is ideally suited for moderate to large defects in the distal third of the lower leg and ankle. This modification of the distally based peroneus brevis muscle flap offers a convincing alternative for covering large defects of up to 12 × 10 cm in the distal leg and ankle region.

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“…According to the classification of Mathes and Nahai, the peroneus brevis muscle is a type IV muscle with segmental vascularisation 24 . The muscle is innervated by the superficial peroneal nerve; the proximal muscle is supplied by muscular branches of the anterior tibial artery, while distal muscle perfusion is provided by muscular branches of the fibular artery 24 , 25 , 26 . Due to the constant anatomy, easy surgical technique and adequate tissue volume, the distally based peroneus brevis muscle flap lends itself for reconstruction of small to medium-sized soft tissue in the distal lower leg 5 , 6 , 7 , 8 , 27 , 28 .…”

Section: Introductionmentioning

confidence: 99%

“…musculares der A. tibialis anterior und distal von Rr. musculares der A. fibularis versorgt und vom N. peroneus superficialis innerviert 24 , 25 , 26 . Aufgrund der konstanten Anatomie bei zugleich leichter operativer Technik und suffizientem Gewebevolumen eignet sich die distal gestielte M.-peroneus-Lappenplastik zur Deckung kleiner bis mittelgroßer Haut-Weichteil-Defekte im Bereich der distalen unteren Extremität 5 , 6 , 7 , 8 , 27 , 28 .…”

Section: Introductionunclassified

Distally Based Peroneus Brevis Muscle Flap for Lower Extremity Defect Reconstruction in Severely Ill Multimorbid Patients

et al. 2021

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Background Reconstruction of lower extremity soft tissue defects is an exceptional surgical challenge, especially in multimorbid, elderly and severely ill patients with their thin and tense local soft-tissue conditions and increased perioperative risk. The distally based peroneus brevis muscle flap (DPBM), a local flap based on the muscular branches of the fibular artery, could pose a pragmatic solution. The objective of this study was to evaluate and quantify DPBM defect reconstruction in the lower leg, especially in elderly, multimorbid and severely ill patients. Material and Methods The DPBM as a surgical option in defect reconstruction in multimorbid, elderly, severely ill patients (inclusion criteria: at least 3 pre-existing comorbidities, patient age: at least 55 years, ASA status: at least III) was evaluated in a retrospective single-centre study from 01 April 2014 to 31 December 2019. The electronic SAP health records (EHR) were analysed according to 18 criteria, including patient details, extent of multimorbidity, defect characteristics, clinical outcome, and complications. Outcome Ten patients with a mean age of 72.6 years, a mean number of 8.5 pre-existing comorbidities and a mean ASA status of 3.1 met the inclusion criteria. The leading causes of defects, each with exposed tendons, bones, joint capsule, or joint, were chronic ulcers (n = 5) and soft tissue defects resulting from fractures (n = 3). In case of DMPB the success rate was 100% (no partial or total loss) with a short operating time (mean: 103 min) and a brief postoperative length of stay (mean: 11 d). In 2 patients (20%), DPBM surgery had to be discontinued intraoperatively and an alternative technique of defect reconstruction had to be adopted. The reasons included impaired muscle perfusion and fatty degeneration of the peroneus brevis muscle. Conclusion The DPBM flap allows straightforward, fast and safe defect reconstruction in the lower extremity, particularly in elderly, multimorbid and severely ill patients at risk. In patients with inadequate peroneal brevis muscle, however, DMPB surgery should be discontinued intraoperatively and the defect reconstructed using alternative techniques.

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Vascularization of the peroneal muscles

Cited by 16 publications

References 20 publications

The Vascular Supply to the Lateral Compartment of the Leg with Emphasis on Fibular Graft Harvesting

The Vascular Supply to the Lateral Compartment of the Leg with Emphasis on Fibular Graft Harvesting

Open-book Splitting of a Distally Based Peroneus Brevis Muscle Flap to Cover Large Leg and Ankle Defects

Distally Based Peroneus Brevis Muscle Flap for Lower Extremity Defect Reconstruction in Severely Ill Multimorbid Patients

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