Table of Contents
ISRN Plastic Surgery
Volume 2014, Article ID 969420, 10 pages
Clinical Study

Comparison between Peroneus Brevis Flap and Reverse Sural Artery Flap for Coverage of Lower One-Third Leg Defects

1Department of Plastic Surgery, Victoria Hospital, BMCRI, Bangalore 560062 , India
2Bangalore Medical College and Research Institute (BMCRI) and Rajiv Gandhi University of Health Sciences (RGUHS), Bangalore, Karnataka 560062, India
3128 Vijay Doctors Colony, Konanakunte, Bangalore, Karnataka 560062, India

Received 6 December 2013; Accepted 30 December 2013; Published 4 March 2014

Academic Editors: H. Mizuno and C. Shipkov

Copyright © 2014 Ramesha Kunchekoppal Thammannagowda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Posttraumatic wounds and soft tissue defects in the distal third of the leg and ankle remain a challenge. Defects at this site will often require flap cover. Free flap is ideal for these defects and gives good results but with its own limitations. The reverse sural artery flap (RSAF) and distal peroneus brevis flap (DPBF) have gained popularity for lower third leg defects among surgeons. We did a retrospective study on 64 patients admitted between 2011 and 2013 with posttraumatic moderate size defects of lower one-third leg who underwent RSAFs and DPBFs. These patients were followed up in the immediate and late postoperative period for complications and outcome assessment. The average surface area covered by DPBF was 27 cm2 and by RSAF was 38 cm2. Both flaps gave a good functional outcome. DPBF has better aesthetic appearance at donor site and recipient site, with the advantages of ease of surgery, speedy recovery, less hospital stay, and no donor site morbidity; DPBFs appear to be a preferred choice for moderate size lower third leg defects. RSAFs should be chosen over DPBFs for defects in medial malleolus and larger size defects.