Strategies in Trauma and Limb Reconstruction

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VOLUME 16 , ISSUE 3 ( September-December, 2021 ) > List of Articles


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

Keywords : Ankle fracture, Fibula fracture, Limb reconstruction, Muscle flap, Orthoplastics, Peroneus brevis

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.

DOI: 10.5005/jp-journals-10080-1540

License: CC BY-NC-SA 4.0

Published Online: 15-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


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.

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