Surgical Exposure of the Distal Fibula to Protect the Peroneus Brevis Muscle Vascular Pedicle
Esmee Irvine, Elliott Cochrane, David M Taylor, Waseem Bhat, Chris West
Citation Information :
Irvine E, Cochrane E, Taylor DM, Bhat W, West C. Surgical Exposure of the Distal Fibula to Protect the Peroneus Brevis Muscle Vascular Pedicle. 2021; 16 (3):176-178.
Ankle fractures are a common presentation to orthopaedic surgeons, with the lateral malleolus involved in 86% of cases. A soft tissue injury can be a concomitant feature of these injuries as a result of the primary injury or following secondary wound breakdown. The peroneus brevis muscle flap provides a reliable and robust option to cover the distal third of the lower limb. With an understanding of the anatomy and cautious dissection during periosteal elevation, the perforating vessels supplying the peroneus brevis can be preserved ensuring that a valuable reconstructive option is available.
Mehta SS, Rees K, Cutler L, et al. Understanding risks and complications in the management of ankle fractures. Indian J Orthop 2014;48(5):445–452. DOI: 10.4103/0019-5413.139829.
Eccles S, Handley B, Khan U, et al., editos. Standards for the management of open fractures. Oxford, UK: Oxford University Press; 2020. Available from: https://oxfordmedicine.com/view/10.1093/med/9780198849360.001.0001/med-9780198849360 [Accessed September 10, 2021].
Simske NM, Audet MA, Kim CY, et al. Open ankle fractures are associated with complications and reoperations. OTA Int 2019:2(4):e042. DOI: 10.1097/OI9.0000000000000042.
Eren S, Ghofrani A, Reifenrath M. The distally pedicled peroneus brevis muscle flap: A new flap for the lower leg. Plast Reconstr Surg. 2001;107:1443–8.
Macera A, Carulli C, Sirleo L, et al. post-operative complications and reoperation rates following open reduction and internal fixation of ankle fracture. Joints 2018;6(2):110–115. DOI: 10.1055/s-0038-1653949.
Yang YL, Lin TM, Lee SS, et al. The distally pedicled peroneus brevis muscle flap anatomic studies and clinical applications. J Foot Ankle Surg 2005;44(4):259–264. DOI: 10.1053/j.jfas.2005.04.013. PMID: 16012431.