How Reliable Is the Distally Based Peroneus Brevis Muscle Flap?

Barr, Steven T.; Rowley, John M.; O’Neill, Patrick J.; Barillo, David J.; Paulsen, Stephen M.

doi:10.1097/00006534-200207000-00087

Cited by 20 publications

(20 citation statements)

References 6 publications

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“…20,28 In contrast to Barr et al, 28 who encountered common distal flap necrosis, we did not observe severe problems regarding flap reliability. Although we used the peroneus brevis flap in this series not only for defect coverage of the lateral malleolus and the Achilles tendon, which was reported by other investigators, 20,29 but also for reconstruction of the heel and medial malleolus, we did not encounter additional complication rates.…”

Section: Discussioncontrasting

confidence: 81%

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

Bach

Leffler

Kneser

et al. 2007

Annals of Plastic Surgery

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Soft tissue and bone defects of the lower leg, ankle, and heel region often require coverage by local or distant flaps. The authors successfully used the distally based peroneus brevis muscle flap for the treatment of 15 patients with osteomyelitis (n = 5), melanoma (n = 1), Achilles tendon defects (n = 6), posttraumatic bone defects (n = 2), and chronic diabetic heel ulcer (n = 1). The size of the defects ranged from 6 to 60 cm. All defects were covered successfully without major complications by the muscle flap. The distally based peroneus brevis muscle represents a very reliable flap for coverage of small and moderate defects of the medial and lateral malleolus, the Achilles tendon, and the heel area. This flap offers a convincing alternative for covering defects in the distal leg region and is often preferable to the use of free flaps because the surgery is rapidly performed and does not require microsurgical expertise.

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Section: Discussioncontrasting

confidence: 81%

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

Bach

Leffler

Kneser

et al. 2007

Annals of Plastic Surgery

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“…Anyway the distally based peroneus brevis flap has been successfully applied to cover defects in the distal lower leg and foot . In contrast Barr et al reported on necrosis of the distal third of the flap in four of four patients (100%) in their series . Finally they stated that the distal segment of the flap was unreliable because of the ligation of the major pedicle proximally in the supposed Type II pattern of circulation according to the classification of Mathes and Nahai .…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] In contrast Barr et al reported on necrosis of the distal third of the flap in four of four patients (100%) in their series. 9 Finally they stated that the distal segment of the flap was unreliable because of the ligation of the major pedicle proximally in the supposed Type II pattern of circulation according to the classification of Mathes and Nahai. 1 However, this classification had also been adopted by other authors enabling only the use of the proximally based flap and rendering the safe application of the distally pedicled flap impossible.…”

Section: Discussionmentioning

confidence: 99%

The distally based peroneus brevis muscle flap—clinical series and review of the literature

et al. 2013

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The distally pedicled peroneus brevis muscle flap is rarely used for defect coverage in the distal lower leg. The purpose of this article was to present our clinical series and provide a review of the literature to analyze the overall complication rates and safety of this flap. In our clinical series of 10 patients undergoing reconstruction with the flap, one necrosis of the distal half of the flap and one necrosis of a skin graft occurred. Our review of the literature identified 192 patients undergoing reconstruction with distally pedicled peroneus brevis flaps. The overall complication rate was 41.6%. Typical indications, complications, advantages and disadvantages to alternatives are discussed. The distally pedicled peroneus brevis flap is an interesting option for soft tissue coverage in the distal lower leg. The donor site can always be closed primarily, the anatomy is constant and complication rates are comparable to alternatives in this region like the distally based sural fasciocutaneous flap.

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“…The muscle flap provides constant vascularity and sufficient tissue for coverage of small defects [11]. However, the rate of re-operations due to skin graft necrosis, partial or even complete flap loss is considered high [5,8]. Schmidt and Giessler presented their experiences with 109 peroneus brevis flaps, which were distally based in 98 cases [4].…”

Section: Discussionmentioning

confidence: 99%

“…Nowadays, it is used distally or proximally based, as a pure muscle flap or as an osteomuscular composite flap [4]. In most of the cases in the literature, the flap is described as a distally based pure muscle flap [3][4][5][6][7]. The flap is able to cover defects of up to 10 cm Â 5 cm at the whole ankle region, including the heel and the Achilles tendon.…”

Section: Introductionmentioning

confidence: 99%

Postoperative negative pressure therapy significantly reduces flap complications in distally based peroneus brevis flaps: Experiences from 74 cases

Erne

Schmauß

Schmauss

et al. 2016

Injury

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How Reliable Is the Distally Based Peroneus Brevis Muscle Flap?

Cited by 20 publications

References 6 publications

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

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

The distally based peroneus brevis muscle flap—clinical series and review of the literature

Postoperative negative pressure therapy significantly reduces flap complications in distally based peroneus brevis flaps: Experiences from 74 cases

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