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Distally based peroneus brevis flap: a reliable and versatile flap to cover the lateral foot and ankle

Masadeh, Suhail DPM; Bibbo, Christopher DO, DPM

doi: 10.1097/BCO.0000000000000422
SPECIAL FOCUS: Foot and Ankle

Defects of the lower extremity are multifactorial, frequent, and complex. The distally based peroneus brevis muscle flap “PB” provides a good option for coverage of wounds of the lower leg and hindfoot. This technique largely replaces free flap surgery because it offers the benefit of microsurgical dissection and harvest of vascularized tissue without the addition of anastomosis. Additionally the procedure allows preservation of function, causes minimal donor site morbidity, and has a shorter operative time. This paper provides the historical background, anatomy, and technique illustration through a case study for this procedure.

aCincinnati Veterans Administration Medical Center, Cincinnati, Ohio

bHead of Foot and Ankle, Rubin Instate for Advanced Orthopedics/International Limb Lengthening Center, Sinai Hospital of Baltimore, Baltimore, Maryland

Financial Disclosure: The authors have no disclosures and report no conflicts of interest in regard to this work.

Correspondence to Suhail Masadeh, DPM, Surgical Podiatry, Cincinnati Veterans Administration Medical Center, 3200 Vine Street, Cincinnati, OH 45255 Tel: +216-409-2259; fax: +513-487-6033; e-mail:

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