الفهرس 
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Abstract
The peroneus brevis muscle is a double-feathered muscle arising from the middle and lower third of the fibula on its lateral surface and intermuscular septa separating the peroneal muscles from the other compartments. Distally its tendon passes posterior to the lateral malleolus usually in a common synovial sheath with the peroneus longus muscle and inserts at the base of the fifth metatarsal bone. A motor branch originating from the superficial peroneal nerve innervates the muscle.
Apparently the use of a distally pedicled flap in the lower extremity with its anyway higher complication rates is not the first line reconstructive option in this delicate region. Anyway the distally based peroneus brevis flap has been successfully applied to cover defects in the distal lower leg and foot.
The present work includes 20 cases with defects around the ankle presented to plastic surgery department, Minia university hospital in period between January to October 2018.
The age was up to 55 years old (16) of them were male and (4) was female, (4) cases with defect in the lateral ankle, (8) cases with defect in the medial aspect, (4) cases with defect on anterior aspect, (4) cases with defect over Achilles tendon.
The protocol of management of raw areas in the leg in this study includes,
Detection of arterial perforators by Doppler sonography and color duplex, wound cleaning and irrigation, Skin debridement then harvesting of the flap.
According to results 55% of patients had excellent results with complete viable flap, 15% of cases had good results with partial graft loss ,20 % with partial flap necrosis , ,and 10% of cases had bad results with complete flap loss .
We conclude that, the peroneus brevis muscle flap is an option in this situation because of its adjacent location, reliability, and the relative simplicity of technique.
This surgical technique is relatively easy, safe, and suitable for reconstruction of soft-tissue defects in a single stage.
The overall success of the flap was reasonable. The cosmetic result was accepted and no functional impairment of the affected extremity occurs due to flap harvest. Function of foot eversion and plantar flexion as well as ankle functionality are maintained due to preservation of the peroneus longus muscle.
Another strong point favoring the peroneus brevis flap is the low donor site morbidity.
The possibly poorly vascularized tip of the flap should be revised.
The presence of diabetes was not a limiting factor for using the flap.