The distally based peroneal island flap.

A distally based island septocutaneous flap supplied by distal perforators of the peroneal vessels is described for repair of soft tissue defects of the lower third of the leg. The flap can be rotated up to 180 degrees on the axis of the pedicle vessels. A series of 10 patients is presented. 7 had uneventful reconstructions, 2 had partial necrosis of the tip of the flap but reconstruction was satisfactory, and one had necrosis of the distal third of the flap resulting in a recurrent leg ulcer.