Combination Therapy in Peroneus Brevis Muscle Flap Surgery for Lower Extremity Reconstruction.

The peroneus brevis muscle flap is a versatile reconstructive option for lower extremity wounds and defects. Preoperative considerations, including patient comorbidities and wound characteristics, can be used to guide flap design as well as the use of combination therapy to optimize outcomes. Meticulous surgical technique is essential for flap success. The robust vascular supply of the peroneus brevis muscle flap offers reliable coverage and improvement in local tissue perfusion to promote healing. Its reliable anatomy and minimal donor site morbidity make it a valuable tool for lower extremity reconstruction and limb salvage.