The Versatility of the Distally Based Peroneus Brevis Muscle Flap in Reconstructive Surgery of the Foot and Lower Leg

2007 ◽  
Vol 58 (4) ◽  
pp. 397-404 ◽  
Author(s):  
Alexander D. Bach ◽  
Mareike Leffler ◽  
Ulrich Kneser ◽  
J??rgen Kopp ◽  
Raymund E. Horch
Keyword(s):  
Reconstructive Surgery ◽  
Muscle Flap ◽  
Lower Leg ◽  
Peroneus Brevis ◽  
Distally Based

Distally based peroneus brevis muscle flap in reconstructive surgery of the lower leg: Postoperative ankle function and stability evaluation

2010 ◽  
Vol 63 (9) ◽  
pp. 1523-1533 ◽  
Author(s):  
Fulvio Lorenzetti ◽  
Davide Lazzeri ◽  
Luca Bonini ◽  
Giordano Giannotti ◽  
Nicola Piolanti ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Muscle Flap ◽  
Lower Leg ◽  
Stability Evaluation ◽  
Peroneus Brevis ◽  
Distally Based ◽  
Ankle Function

scholarly journals Experience with peroneus brevis muscle flaps for reconstruction of distal leg and ankle defects

2013 ◽  
Vol 46 (01) ◽  
pp. 048-054 ◽  
Author(s):  
Babu Bajantri ◽  
Ravindra Bharathi ◽  
Sanjai Ramkumar ◽  
Latheesh Latheef ◽  
Smitha Dhane ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Lower Leg ◽  
Peroneal Artery ◽  
Medial Malleolus ◽  
Anterior Tibial Artery ◽  
Muscle Flaps ◽  
Critical Areas ◽  
Flap Loss ◽  
Peroneus Brevis ◽  
Distally Based

ABSTRACTObjective: Peroneus brevis is a muscle in the leg which is expendable without much functional deficit. The objective of this study was to find out its usefulness in coverage of the defects of the lower leg and ankle. Patients and Methods: A retrospective analysis of the use of 39 pedicled peroneus brevis muscle flaps used for coverage of defects of the lower leg and ankle between November 2010 and December 2012 was carried out. The flaps were proximally based for defects of the lower third of the leg in 12 patients and distally based for reconstruction of defects of the ankle in 26 patients, with one patient having flaps on both ankles. Results: Partial flap loss in critical areas was found in four patients requiring further flap cover and in non-critical areas in two patients, which were managed with a skin graft. Three of the four critical losses occurred when we used it for covering defects over the medial malleolus. There was no complete flap loss in any of the patients. Conclusion: This flap has a unique vascular pattern and fails to fit into the classification of the vasculature of muscles by Mathes and Nahai. The unusual feature is an axial vessel system running down the deep aspect of the muscle and linking the perforators from the peroneal artery and anterior tibial artery, which allows it to be raised proximally or distally on a single perforator. The flap is simple to raise and safe for the reconstruction of small-to moderate-sized skin defects of the distal third of the tibia and all parts of the ankle except the medial malleolus, which is too far from the pedicle of the distally based flap. The donor site can be closed primarily to provide a linear scar. The muscle flap thins with time to provide a good result aesthetically at the primary defect.

MRI anatomical preoperative evaluation of distally based peroneus brevis muscle flap in reconstructive surgery of the lower limb

2017 ◽  
Vol 70 (11) ◽  
pp. 1563-1570 ◽  
Author(s):  
Federico Barbera ◽  
Fulvio Lorenzetti ◽  
Ricccardo Marsili ◽  
Matteo Ragoni ◽  
Andrea Lisa ◽  
...  
Keyword(s):  
Reconstructive Surgery ◽  
Lower Limb ◽  
Preoperative Evaluation ◽  
Muscle Flap ◽  
Peroneus Brevis ◽  
Distally Based

Re: MRI anatomical preoperative evaluation of distally based peroneus brevis muscle flap in reconstructive surgery of the lower limb

2018 ◽  
Vol 71 (6) ◽  
pp. 939
Author(s):  
Rebecca A. Rollett ◽  
Rachel M. Clancy ◽  
Daniel J. Wilks ◽  
Jonathan D. Wiper
Keyword(s):  
Reconstructive Surgery ◽  
Lower Limb ◽  
Preoperative Evaluation ◽  
Muscle Flap ◽  
Peroneus Brevis ◽  
Distally Based

The Distally Pedicled Peroneus Brevis Muscle Flap: A New Flap for the Lower Leg

2001 ◽  
Vol 107 (6) ◽  
pp. 1443-1448 ◽  
Author(s):  
Serdar Eren ◽  
Afschin Ghofrani ◽  
Martin Reifenrath
Keyword(s):  
Muscle Flap ◽  
Lower Leg ◽  
Peroneus Brevis

scholarly journals Distally based peroneus brevis muscle flap: A single centre experience

2019 ◽  
Vol 22 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Subhash Sahu ◽  
Amish Jayantilal Gohil ◽  
Shweta Patil ◽  
Shashank Lamba ◽  
Kingsly Paul ◽  
...  
Keyword(s):  
Muscle Flap ◽  
Single Centre ◽  
Single Centre Experience ◽  
Peroneus Brevis ◽  
Distally Based

Healing Heel Ulcers in High-Risk Patients: Distally Based Peroneus Brevis Muscle Flap Case Series

2019 ◽  
Vol 58 (2) ◽  
pp. 341-346 ◽  
Author(s):  
Tea Nguyen ◽  
Edgardo R. Rodriguez-Collazo
Keyword(s):  
High Risk ◽  
Case Series ◽  
Muscle Flap ◽  
High Risk Patients ◽  
Risk Patients ◽  
Peroneus Brevis ◽  
Distally Based

One-Step Approach for Infections After Achilles Tendon Open Repair: The Distally Based Peroneus Brevis Muscle Flap

2020 ◽  
pp. 153473462095154
Author(s):  
Luca Vaienti ◽  
Giuseppe Cottone ◽  
Giovanna Zaccaria ◽  
Emanuele Rampino Cordaro ◽  
Francesco Amendola
Keyword(s):  
Achilles Tendon ◽  
Median Time ◽  
Tendon Rupture ◽  
Open Repair ◽  
Weight Bearing ◽  
Achilles Tendon Rupture ◽  
Muscle Flap ◽  
Full Weight Bearing ◽  
Peroneus Brevis ◽  
Distally Based

The aim of this single-center, retrospective study is to demonstrate the effectiveness of distally based peroneus brevis muscle flap as first therapeutic option for infections after Achilles tendon open repair. We retrospectively analyzed 14 consecutive patients with complete Achilles tendon rupture and developing surgical site infection after an attempt of open surgical repair. Every patient was reconstructed with distally base peroneus brevis muscle flap. The primary outcome was the return to work and the initiation of full weight-bearing. Secondary outcomes were complication rate and time needed to return to work. A review of the literature was conducted to better define the actual standard treatment. Each patient returned to work. No flap necrosis occurred. Two minor healing delays and one hematoma were reported. Median time to wound healing was 17 days (interquartile range [IQR] = 13-20). Median time to full weight-bearing was 52 days (IQR = 47-55). Median follow-up (FU) was 21 months. Distally based peroneus brevis flap is a safe treatment for surgical site infections after Achilles tendon rupture repair. Patients regained full weight-bearing after a median time of 52 days from the surgical reconstruction. No major complications were observed. This flap clearly emerges as first reconstructive option for complications after surgery of Achilles tendon region.

Distally Based Peroneus Brevis Muscle Flap for Large Leg, Ankle, and Foot Defects: Anatomical Finding and Clinical Application

2018 ◽  
Vol 34 (08) ◽  
pp. 616-623 ◽  
Author(s):  
Magdy Abd-Al-Moktader
Keyword(s):  
Blood Supply ◽  
Muscle Flap ◽  
Entry Site ◽  
Large Defect ◽  
Muscle Flaps ◽  
Longitudinal Splitting ◽  
Internal Distribution ◽  
Peroneus Brevis ◽  
Distally Based ◽  
Anatomical Finding

Background Peroneus brevis muscle flap is a distinguished, distally based safe flap that can be manipulated to cover small defects in the leg and ankle. For large-sized defects, a more distal, larger flap is required either locally or distantly. Methods Forty-two distally based peroneus brevis muscle flaps were elevated in 42 patients (30 males and 12 females) with major lower leg, ankle, and proximal foot defects of 6 to 15 cm in length and 6 to 12 cm in width. Anatomical findings were recorded as number, size, and sources of blood supply, entry sites, the lowermost two arterial supplies, internal distribution of blood supply to the muscle, the relationship between external and internal distribution of the blood vessels, the length of the muscle, the entry site of the main artery, and the splitting of the proximal portion of the peroneus brevis muscle to increase its width to sufficiently cover large defects. Results The anatomical findings suggested that the muscle can be safely extended to cover a large defect in the leg, ankle, or proximal foot. In addition, the longitudinal splitting of the muscle increases its width by up to three times, making it an excellent long-surviving flap to cover a large defect. Conclusion A distally based peroneus brevis muscle flap has a rich blood supply and safely reaches the proximal foot, with a secure splitting to cover large defects in the leg, ankle, and proximal foot.

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