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Versatility of the Peroneus Brevis Muscle Flap for Distal Leg, Ankle, and Foot Defects: A Comprehensive Review
Vladimir Mégevand1,2, Matteo Scampa1, Domizio Suva3
1Department of Plastic, Reconstructive and Aesthetic Surgery, Geneva University Hospitals, Geneva University, 1205 Geneva, Switzerland.
JPRAS Open
|August 6, 2024
Summary
The peroneus brevis muscle flap is a reliable option for covering distal leg soft tissue defects. This review found it versatile for various wounds with low complication rates and no donor site issues.
Area of Science:
- Plastic Surgery
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Distal leg soft tissue defects pose significant reconstructive challenges.
- Standard treatments like skin grafts often yield suboptimal outcomes.
- The peroneus brevis muscle flap is a recognized reconstructive option.
Purpose of the Study:
- To review the applications and complications of the peroneus brevis muscle flap.
- To evaluate its efficacy in reconstructing distal leg defects.
- To assess donor site morbidity associated with this flap.
Main Methods:
- A comprehensive literature review was conducted.
- Studies meeting PICOS criteria were selected.
- Data from 222 patients were analyzed retrospectively.
Main Results:
- The peroneus brevis muscle flap was used for post-traumatic, infected, and chronic wounds.
- Overall complication rate was 21%, with skin graft loss being most common.
- Revision surgery was needed in 7% of cases; no donor site morbidity was reported.
Conclusions:
- The peroneus brevis muscle flap is a versatile and reliable choice for small to medium distal leg, ankle, and foot defects.
- It offers a favorable risk-benefit profile with low complication and donor site morbidity.
- This flap represents a valuable tool in the reconstructive surgeon's armamentarium.
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