Distal Peroneus Brevis Muscle Flap

Saydam, Mutlu; Yilmaz, Sarper; Seven, Ergin

doi:10.1097/00006534-200207000-00074

Cited by 7 publications

(5 citation statements)

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“…Initially, the peroneus brevis was not the choice for ankle and foot defects because the defect was far to reach by this muscle, as previously described in the literature; [1][2][3][4][5][6] however, our findings revealed that the leg defects encouraged use of this flap in ankle and foot defects that required flap coverage. No angiograms were obtained, and it was not possible to isolate the perforator based on the Doppler study.…”

Section: Methodsmentioning

confidence: 63%

“…This finding encouraged me to increase the width of the muscle by splitting it further, up to three times the circumference as an open circle, while keeping a small cuff of the muscle fiber and preserving the branches of the internal artery of the brevis (►Figs. 5,6,7).…”

Section: Surgical Techniquementioning

confidence: 99%

“…These findings encouraged the author to increase the splitting of the muscle while leaving a small cuff of muscle fibers attached to the posterior epimysium to avoid injury to the internal artery and its branches akin to the opening of a circle to increase its surface area of coverage by up to three times its circumference for covering the large defects (►Figs. 5,6,7).…”

Section: Anatomical Findingsmentioning

confidence: 99%

See 2 more Smart Citations

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

Abd-Almoktader

2018

J reconstr Microsurg

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Section: Methodsmentioning

confidence: 63%

Section: Surgical Techniquementioning

confidence: 99%

Section: Anatomical Findingsmentioning

confidence: 99%

See 1 more Smart Citation

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

Abd-Almoktader

2018

J reconstr Microsurg

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“…The distally-based fibularis brevis muscle flap proved to be a reliable flap, and have been used extensively to cover defects in the lower leg and foot with successful clinical outcome (Barr et al, 2002;Saydam et al, 2002). Such flap will depend mainly on the anastomosis between the perforating branch of the posterior tibial artery and the fibular artery.…”

Section: Discussionmentioning

confidence: 99%

The Anatomical Basis of the Vascularized Fibularis Brevis Grafts

Elbarrany

Alasmari

2018

Int. J. Morphol.

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Fibularis brevis grafts have been extensively used, especially as distally-based grafts, to cover defects in the lower leg and foot. The study has contributed to analyze the blood supply of the fibularis brevis muscle and the vascular basis of its possible different grafts. Both legs of twelve preserved cadavers, without congenital vascular anomalies, were utilized in the study. Fibularis brevis was exposed in all selected legs along with the verification of different arterial pedicles. The total means and standard deviations of the length and width of the muscle together with diameters of major vessels were calculated. Total length and width of middle portion of fibularis brevis were at means of 28.7±0.4 cm and 3±0.02 cm respectively. The upper and middle portions of the muscle were supplied by the fibular and the anterior tibial artery. The middle portion was supplemented by the upper perforating branch of the posterior tibial artery. The lower portion of the muscle was supplied by the lower perforating branch of the posterior tibial and the periosteal arteries. The muscle could be used as a proximally or distally based flap, free vascularized muscle graft, free vascularized osteo-muscular flap, and distally-based split flap. It can be split completely into two flaps; each of which can be used as a proximally or distally.

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“…This flap was originally described as a proximally based flap for pretibial defects. 10 Barr 11 and Saydam 12 reported on the reliability of distally based peroneus brevis muscle flaps.…”

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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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Distal Peroneus Brevis Muscle Flap

Cited by 7 publications

References 0 publications

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

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

The Anatomical Basis of the Vascularized Fibularis Brevis Grafts

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

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