Troisi Luigi, Wright Thomas, Khan Umraz, Emam Ahmed T, Chapman Thomas W L
Ann Plast Surg. 2018 Mar;80(3):272-276. doi: 10.1097/SAP.0000000000001224.
The peroneus brevis flap was first described as proximally based by Mathes et al (Surg Clin North Am. 1974;54:1337-1354) and later by Jackson and Scheker (Injury. 1982;13:324-330). A distally based version of this flap by Mathes and Nahai (Reconstructive Surgery: Principles, Anatomy and Technique. 1997:1437e46) was subsequently described in 1997. The first case series of distally based flaps was published by Eren et al (Plast Reconstr Surg. 2001;107:1443-1448). In our experience, the distally based flap is a useful muscle flap to reconstruct small defects in the lateral distal third of the leg. Initial interest and confidence in the use of this flap in our unit were hindered by lack of direct experience and descriptive detail in the literature. We have now developed a systematic approach to harvest the distally pedicled peroneus brevis muscle flap in 5 reproducible, safe steps. This has allowed the flap to become adopted as a standard technique of limb reconstruction in our unit with no cases of flap loss.
腓骨短肌皮瓣最初由马西斯等人（《北美外科临床》。1974年；54:1337 - 1354）描述为近端蒂皮瓣，后来杰克逊和谢克也有相关描述（《损伤》。1982年；13:324 - 330）。1997年，马西斯和纳海（《重建外科：原理、解剖与技术》。1997:1437e46）描述了该皮瓣的远端蒂版本。远端蒂皮瓣的首个病例系列由埃伦等人发表（《整形与重建外科》。2001年；107:1443 - 1448）。根据我们的经验，远端蒂皮瓣是一种用于修复小腿远端外侧三分之一小缺损的有用肌皮瓣。在我们科室，对使用该皮瓣的最初兴趣和信心因文献中缺乏直接经验和详细描述而受到阻碍。我们现已开发出一种系统方法，通过5个可重复、安全的步骤切取远端蒂腓骨短肌肌皮瓣。这使得该皮瓣在我们科室成为肢体重建的标准技术，且无皮瓣丢失病例。
