Lateral Crural Perforator Flap

Abstract

The peroneal artery perforator flap was developed from the lateral crural flap which could be designed as the proximal-middle peroneal artery perforator flap and the distal peroneal artery perforator flap. The former was suitable for coverage of a local crural wound and it might also be transferred as a free flap to restore medium or small skin defects on the foot or hand. While the latter was suitable for restoration of skin and soft-tissue defects on the lower leg, around the ankle joint or on the dorsum of the foot, and it might also be transferred as a free flap to restore small defects on the limbs. The distal peroneal artery perforator flap classified into three types: the superior (anterior) lateral malleolus perforator flap, the posterior superior lateral malleolus perforator flap and the posterior lateral malleolus perforator flap.