Hassan, K., Mohamed, A., Mohamed, M. (2020). Clinical Evaluation of Peroneous Brevis Muscle Flap as a Reconstructive Tool for Defects Around the Ankle. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 557-564. doi: 10.21608/ejprs.2020.68220
Khaled M Hassan; Ahmed M Mohamed; Mostafa S Mohamed. "Clinical Evaluation of Peroneous Brevis Muscle Flap as a Reconstructive Tool for Defects Around the Ankle". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 557-564. doi: 10.21608/ejprs.2020.68220
Hassan, K., Mohamed, A., Mohamed, M. (2020). 'Clinical Evaluation of Peroneous Brevis Muscle Flap as a Reconstructive Tool for Defects Around the Ankle', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 557-564. doi: 10.21608/ejprs.2020.68220
Hassan, K., Mohamed, A., Mohamed, M. Clinical Evaluation of Peroneous Brevis Muscle Flap as a Reconstructive Tool for Defects Around the Ankle. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 557-564. doi: 10.21608/ejprs.2020.68220
Clinical Evaluation of Peroneous Brevis Muscle Flap as a Reconstructive Tool for Defects Around the Ankle
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Minia University, Egypt
Abstract
Background: Soft tissue defects of the distal lower extremity are notoriously difficult wounds to treat. This is due to the paucity of soft tissue in this area and the thin integument as well as the relatively superficial tendons. Those defects often require local rotation flaps, the reverse flow flap or free tissue transfer. The success of local tissue rotation flaps can be improved with supercharging techniques; however, just as with free tissue transfers, these techniques require special surgical skills. One excellent alternative within the reconstructive spectrum of the lower leg is the distally based peroneus brevis muscle flap. This muscle flap is a viable option in properly selected patients for coverage of wounds about the ankle. Patients and Methods: In this study, we used the distally based peroneous brevis muscle flap to reconstruct 20 cases of defects around the ankle. Cases presented to Plastic Surgery Department, Minia University Hospital in period between January to October 2017. Surgical procedure was performed under spinal anaesthesia in all cases. We followed cases for 6 months postoperatively. Results: The mean age was 35 years old, 16 patients were males and 4 were female. 55% of patients had complete flap viability, 15% of cases had partial graft loss and 20% with partial flap necrosis and 10% of cases had complete flap loss. Conclusion: We can suggest that the peroneus brevis muscle flap is an additional valuable option for reconstruction of defects around the ankle because of its adjacent location, reliability, and the relative simplicity of technique. The surgical technique is relatively easy, safe, and suitable for reconstruction of soft-tissue defects in a single stage.
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