Summary
The peroneus brevis tendon mechanism is more effective than the peroneus longus mechanism
in rotating the navicular externally and the calcaneus into valgus. A longitudinal
vertical split of the peroneus brevis muscle is a new technique that allows coverage
of the fibular and pretibial region defects without impairing the muscle function.
The essential features of the flap are: transposition of the muscle without disinsertion,
splitting the muscle longitudinally along a distinct anatomical plane, and preservation
of the anatomical continuity of the muscle. The flap has been tested on seven male
patients who had sustained open fractures of the ankle region with metal implant exposure
of the fibula. The size of the flap ranged from 13×6 cm to 15×7 cm (mean 13.8×6.5 cm). The soft tissue defects were located between the pretibial region and the lateral
malleolus. Their ages ranged from 22 to 39 years (mean 28.7 years). Follow up was
from 3 to 24 months (mean 14.5 months). The technique of split peroneus muscle flap
was applied successfully in all patients. There was no necrosis of the muscle flap
and stable wound healing was achieved. The cosmetic result was good and the function
of the muscle was preserved. The advantages offered by this new flap include: technical
simplicity, reliability, and the allowance of future use of other local skin and muscle
flaps. With the help of this new technique it is possible to cover defects of up to
20×7 cm and to preserve the muscle function.
Keywords
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Article info
Publication history
Published online: March 09, 2007
Accepted:
January 15,
2007
Received:
July 17,
2006
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
