Department of Plastic and Reconstructive Surgery, Krankenhaus Barmherzige Brüder Salzburg, Teaching Hospital of the Paracelsus Medical University, Kajetanerplatz 1, Salzburg, 5020, Austria.
Microsurgery. 2014 Mar;34(3):203-8. doi: 10.1002/micr.22172. Epub 2013 Sep 30.
The distally pedicled peroneus brevis muscle flap is rarely used for defect coverage in the distal lower leg. The purpose of this article was to present our clinical series and provide a review of the literature to analyze the overall complication rates and safety of this flap. In our clinical series of 10 patients undergoing reconstruction with the flap, one necrosis of the distal half of the flap and one necrosis of a skin graft occurred. Our review of the literature identified 192 patients undergoing reconstruction with distally pedicled peroneus brevis flaps. The overall complication rate was 41.6%. Typical indications, complications, advantages and disadvantages to alternatives are discussed. The distally pedicled peroneus brevis flap is an interesting option for soft tissue coverage in the distal lower leg. The donor site can always be closed primarily, the anatomy is constant and complication rates are comparable to alternatives in this region like the distally based sural fasciocutaneous flap.
带蒂的腓骨短肌皮瓣在小腿远端很少用于缺损覆盖。本文的目的是介绍我们的临床系列，并对文献进行回顾分析，以评估该皮瓣的总体并发症发生率和安全性。在我们的 10 例接受皮瓣重建的患者的临床系列中，有 1 例皮瓣远端半坏死，1 例皮片移植坏死。我们对文献的回顾确定了 192 例接受带蒂腓骨短肌皮瓣重建的患者。总的并发症发生率为 41.6%。讨论了典型的适应证、并发症、替代方法的优缺点。带蒂的腓骨短肌皮瓣是治疗小腿远端软组织缺损的一种有趣的选择。供区始终可以一期闭合，解剖结构恒定，并发症发生率与该区域的其他替代方法（如远端腓肠筋膜皮瓣）相当。
