Secondary Logo

Journal Logo

Reply: The Versatility of the Distally Based Peroneus Brevis Muscle Flap

Giessler, Goetz A. M.D., Ph.D.; Schmidt, Andreas B. M.D.

Plastic and Reconstructive Surgery: April 2011 - Volume 127 - Issue 4 - p 1752
doi: 10.1097/PRS.0b013e31820a66a6

Department of Plastic, Hand, and Reconstructive Microsurgery; BG Trauma Center Murnau; Murnau, Germany

Correspondence to Dr. Giessler, Department of Plastic, Hand, and Reconstructive Microsurgery, BG Trauma Center Murnau, Professor-Kuentscher-Strasse 8, Murnau 82418, Germany

Back to Top | Article Outline


It was with great pleasure that we read the comment of Lorenzetti et al. on our article describing the clinical experience with 109 peroneus brevis flaps in various versions and about their own use of this flap as a muscle flap. They describe their experience in using the distally pedicled muscular flap as one of their standard flaps.1 We congratulate the authors for their interesting and very recent study and are delighted to hear that they also describe very positive results of this relatively simple flap for many small and medium defects around the ankle. This exactly parallels our experience if some details during dissection are followed, as described in our original article.2

We are grateful that Lorenzetti et al. reinforce our positive experience with the very low donor-site morbidity of the flap with objective data they have gathered evaluating postoperative foot and ankle mobility with both the Weber Demerit and the Olerud-Molander Ankle Scores. No deterioration in either score was observed after having harvested the peroneus brevis flap. Using these scores on our compound osteomuscular flap cases would certainly be very interesting as soon as we have a larger number of those skeletal reconstruction cases. In providing us their experience here, they combine the clinical experiences from both our both groups with a considerable number of flaps and will surely encourage more reconstructive surgeons to choose the peroneus brevis flap for defects in its typical arc of rotation.

Goetz A. Giessler, M.D., Ph.D.

Andreas B. Schmidt, M.D.

Department of Plastic, Hand, and Reconstructive Microsurgery

BG Trauma Center Murnau

Murnau, Germany

Back to Top | Article Outline


1. Lorenzetti F, Lazzeri D, Bonini L, et al. Distally based peroneus brevis muscle flap in reconstructive surgery of the lower leg: Postoperative ankle function and stability evaluation. J Plast Reconstr Aesthet Surg. 2010;63:1523–1533.
2. Schmidt AB, Giessler GA. The muscular and the new osteomuscular composite peroneus brevis flap: Experiences from 109 cases. Plast Reconstr Surg. 2010;126:924–932.

Section Description


Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article's publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.

Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS' enkwell, at

We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.

The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.

©2011American Society of Plastic Surgeons