Lyle W G, Colborn G L
Section of Plastic and Reconstructive Surgery, Medical College of Georgia, Augusta 30912, USA.
Ann Plast Surg. 2000 Feb;44(2):158-62. doi: 10.1097/00000637-200044020-00006.
The peroneus brevis is a small muscle with a Mathes-Nahai type II vascular pattern found in the lateral compartment of the leg. It is supplied by branches of the peroneal artery and it maintains its muscular component to the lateral malleolus, allowing it to be transposed to cover small distal third defects. The authors describe their experience with eight peroneus brevis flaps covered with split-thickness skin grafts utilized to cover lateral malleolar fractures with exposed hardware or bone and one case of exposed Achilles' tendon. Seven flaps were successful and one (in a diabetic) underwent partial necrosis, requiring a small fasciocutaneous flap. The peroneus brevis flap provides limited coverage of the distal third of the leg but can be quite useful for problematic wounds of this difficult area.
腓骨短肌是一块小肌肉，具有Mathes-Nahai II型血管模式，位于小腿外侧肌间隔。它由腓动脉分支供血，并与外踝保持肌肉连接，使其能够转移以覆盖小腿远侧三分之一的小缺损。作者描述了他们使用八块覆盖中厚皮片的腓骨短肌皮瓣的经验，这些皮瓣用于覆盖伴有外露内固定物或骨质的外踝骨折以及1例跟腱外露的病例。七块皮瓣成功，一块（糖尿病患者的皮瓣）发生部分坏死，需要一块小的筋膜皮瓣。腓骨短肌皮瓣对小腿远侧三分之一的覆盖范围有限，但对于该困难区域的疑难伤口可能非常有用。
