RECONSTRUCTION OF TENDOACHILLIES DEFECTS WITH DISTALLY BASED PERONEUS BREVIS MUSCLE FLAP – OUR EXPERIENCE
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Keywords
TendoAchillies Defects, Distally based Peroneus Brevis flap, muscle flaps
Abstract
Introduction :
Covering soft tissue defects in the distal part of leg and ankle is difficult. Most of the flaps used in reconstructing these defects are bulky and aesthetically unpleasing. The peroneus brevis muscle flap is ideal for covering these defects and providing an aesthetically better outcome. Peroneus brevis is a muscle located in the lateral compartment of the leg. It can be used for covering defects over the ankle and distal part of the leg without causing loss of function. It is also expendable as long as the Peroneus Longus muscle is intact. Through this study, we describe the application and outcome of distally based Peroneus Brevis flap coverage of TendoAchillies defects.
Methods: This was a retrospective study involving thirty patients who were operated from JULY 2021 to APRIL 2024. All the patients had soft tissue defects over the TendoAchillies and were managed with distally based peroneus brevis muscle flap and covered with SSG . The inclusion criteria were defects less than 4cm which required a flap, with exposed bare bone , the presence of palpable distal pulses, a clean wound bed and the absence of infection.
Results: Partial graft loss was noted in three patients, who were managed conservatively and wounds healed secondarily. An incidence of muscle necrosis in one patient. All wounds healed completely by 6 weeks of follow-up.
Conclusion: Distally based Peroneus Brevis flap is a reliable option to provide aesthetically satisfactory and robust soft tissue coverage of TendoAchillies defects that are less than 4cm wide , with minimal donor site morbidity .
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Dr. Vijaykumar N, M.Ch.
Professor & Head, Department Of Plastic, Reconstructive Surgery And Burns, Mysore Medical College And Research Institute, Mysore, Karnataka, India
Dr. Chandrashekar M S, M.Ch
Assistant Professor, Department Of Plastic, Reconstructive Surgery And Burns, Mysore Medical College And Research Institute, Mysore, Karnataka, India
Dr. Kammiti Varun Tez, M.S., (M.Ch.)
Post Graduate, Department Of Plastic, Reconstructive Surgery And Burns, Mysore Medical College And Research Institute, Mysore, Karnataka, India
Dr. Mohan G Kakola, M.Ch.
Professor, Department Of Plastic, Reconstructive Surgery And Burns, Mysore Medical College And Research Institute, Mysore, Karnataka, India