Case Series
 
The distally pedicled peroneus brevis muscle and fasciocutaneous sural artery flap for reconstruction of the distal third of lower leg
Ingo Schmidt
SRH Poliklinik Gera GmbH, Straße des Friedens 122, 07548 Gera, Germany.

Article ID: Z01201703CS10083IS
doi:10.5348/ijcri-201704-CS-10083

Address correspondence to:
Dr. Ingo Schmidt
SRH Poliklinik Gera GmbH
Straße des Friedens 122, 07548 Gera
Germany

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How to cite this article
Schmidt I. The distally pedicled peroneus brevis muscle and fasciocutaneous sural artery flap for reconstruction of the distal third of lower leg. Int J Case Rep Images 2017;8(1):17–21.


Abstract
Introduction: The use of distally pedicled peroneus brevis muscle and fasciocutaneous sural artery flap for coverage of the distal end of lower leg is recommended for soft tissue defects with exposure of bones and/or tendons in patients who are not willing or healthy enough to undergo free microvascular tissue transplantation, and do not require microsurgical expertise.
Case Report: A short presentation of six cases including a short review of literature will highlight current knowledge and complications of these procedures.
Conclusion: The distally pedicled peroneus brevis muscle and fasciocutaneous sural artery flaps are useful for coverage of soft tissue defects of the distal third of lower leg. In our patients, the complication rate of distally pedicled neurofasciocutaneous sural artery flap is higher than the distally pedicled peroneus brevis muscle flap.

Keywords: Distal third lower leg, Distally pedicled peroneus brevis muscle flap, Distally pedicled sural artery flap, Soft tissue defect


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Author Contributions:
Ingo Schmidt – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Ingo Schmidt. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Author

Ingo Schmidt is Surgeon in the Department of Traumatology SRH Poliklinik, Waldklinikum Gera GmbH, Germany. From 1983 to 1989, he studied human medicine at the Friedrich-Schiller-University in Jena (Germany). From 1990 to 1999, Dr. Schmidt graduated his training for general surgery, traumatology, orthopaedics, and hand surgery at the University hospital in Jena. In 1994, he successfully defended his scientific work to gain the title as a medical doctor. He has published more than 20 scientific articles. His areas of interest include hip replacement, coverage of soft tissue defects, and hand surgery with special focus on total wrist replacement and arthroplasties of all other joints of the hand.