{"id":"https://openalex.org/W7203598203","doi":"https://doi.org/10.7759/cureus.114645","title":"Distally Based Peroneus Brevis Flap for Primary and Salvage Coverage of Distal Leg and Ankle Defects in a Resource-Limited Setting: A Report of Three Cases","display_name":"Distally Based Peroneus Brevis Flap for Primary and Salvage Coverage of Distal Leg and Ankle Defects in a Resource-Limited Setting: A Report of Three Cases","publication_year":2026,"publication_date":"2026-08-17","ids":{"openalex":"https://openalex.org/W7203598203","doi":"https://doi.org/10.7759/cureus.114645","pmid":"https://pubmed.ncbi.nlm.nih.gov/42751613","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13580518"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.114645","doi":"https://doi.org/10.7759/cureus.114645","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.114645","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.7759/cureus.114645","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066058530","display_name":"Khalid Abdel Aziz","orcid":"https://orcid.org/0009-0004-5623-6810","observed_orcids":["https://orcid.org/0009-0004-5623-6810"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Khalid Abdel Aziz","raw_affiliation_strings":["Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN","Plastic and Reconstructive Surgery, Al Qassimi Hospital, Sharjah, ARE"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN","institution_ids":[]},{"raw_affiliation_string":"Plastic and Reconstructive Surgery, Al Qassimi Hospital, Sharjah, ARE","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5137550010","display_name":"Faris Mohamed Awad Abdon","orcid":"https://orcid.org/0009-0007-7334-3337","observed_orcids":["https://orcid.org/0009-0007-7334-3337"]},"institutions":[{"id":"https://openalex.org/I86539363","display_name":"University of Asmara","ror":"https://ror.org/035rzdj42","country_code":"ER","type":"education","lineage":["https://openalex.org/I86539363"]}],"countries":["ER"],"is_corresponding":true,"raw_author_name":"Faris Abdon","raw_affiliation_strings":["Medical Sciences Department/Medical Biochemistry Unit, Orotta College of Medicine and Health Sciences, Asmara, ERI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Sciences Department/Medical Biochemistry Unit, Orotta College of Medicine and Health Sciences, Asmara, ERI","institution_ids":["https://openalex.org/I86539363"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5147334763","display_name":"Elbadawi Habib Allah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4399598369","display_name":"Armed Forces Hospital Southern Region","ror":"https://ror.org/05r1hax23","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4399598369"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Elbadawi Habib Allah","raw_affiliation_strings":["Plastic Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU","Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU","institution_ids":["https://openalex.org/I4399598369"]},{"raw_affiliation_string":"Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055494687","display_name":"Mohamed Elamin Salim","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed ElAmin Salim","raw_affiliation_strings":["Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN","Plastic Surgery, Sharg Alneel Hospital, Khartoum, SDN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Plastic Surgery, Khartoum Teaching Hospital, Khartoum, SDN","institution_ids":[]},{"raw_affiliation_string":"Plastic Surgery, Sharg Alneel Hospital, Khartoum, SDN","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5137550010"],"corresponding_institution_ids":["https://openalex.org/I86539363"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"8","first_page":"e114645","last_page":"e114645"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pedicled-flap","display_name":"pedicled flap","score":0.875},{"id":"https://openalex.org/keywords/ankle-defects","display_name":"ankle defects","score":0.9639999866485596},{"id":"https://openalex.org/keywords/exposed-bone","display_name":"exposed bone","score":0.7609999775886536},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.746999979019165},{"id":"https://openalex.org/keywords/tibial-bone-defect","display_name":"tibial defect","score":0.7730000019073486},{"id":"https://openalex.org/keywords/crush-injury","display_name":"crush injury","score":0.7699999809265137},{"id":"https://openalex.org/keywords/soleus-flap","display_name":"soleus flap","score":0.7749999761581421},{"id":"https://openalex.org/keywords/skin-grafting","display_name":"skin grafting","score":0.7319999933242798}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9613000154495239},{"id":"https://openalex.org/C2778640784","wikidata":"https://www.wikidata.org/wiki/Q168002","display_name":"Ankle","level":2,"score":0.8076000213623047},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6927000284194946},{"id":"https://openalex.org/C2777438270","wikidata":"https://www.wikidata.org/wiki/Q5248564","display_name":"Debridement (dental)","level":2,"score":0.5652999877929688},{"id":"https://openalex.org/C2777750529","wikidata":"https://www.wikidata.org/wiki/Q1591440","display_name":"Skin grafting","level":2,"score":0.5393000245094299},{"id":"https://openalex.org/C2780551157","wikidata":"https://www.wikidata.org/wiki/Q938983","display_name":"Osteomyelitis","level":2,"score":0.5307999849319458},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.39750000834465027},{"id":"https://openalex.org/C2778369016","wikidata":"https://www.wikidata.org/wiki/Q1386945","display_name":"Peroneus longus","level":3,"score":0.38920000195503235},{"id":"https://openalex.org/C2779912925","wikidata":"https://www.wikidata.org/wiki/Q5871352","display_name":"Free flap","level":2,"score":0.38679999113082886},{"id":"https://openalex.org/C106207104","wikidata":"https://www.wikidata.org/wiki/Q324926","display_name":"Fibula","level":3,"score":0.33329999446868896}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.114645","doi":"https://doi.org/10.7759/cureus.114645","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.114645","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13580518","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13580518/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13580518/pdf/cureus-0018-00000114645.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42751613","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42751613","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.114645","doi":"https://doi.org/10.7759/cureus.114645","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.114645","pdf_url":null,"source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9391000270843506}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203598203.pdf","grobid_xml":"https://content.openalex.org/works/W7203598203.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W2086956040","https://openalex.org/W2131744640","https://openalex.org/W2137892645","https://openalex.org/W2139488340","https://openalex.org/W2967523770","https://openalex.org/W3080932958","https://openalex.org/W3119168096","https://openalex.org/W3191955188","https://openalex.org/W4283456939","https://openalex.org/W4310610871","https://openalex.org/W4386367235","https://openalex.org/W4390449416","https://openalex.org/W4399555580","https://openalex.org/W4399759669"],"related_works":["https://openalex.org/W2916461514","https://openalex.org/W2054355901","https://openalex.org/W4292209286","https://openalex.org/W2137430427","https://openalex.org/W16320407","https://openalex.org/W2010021848","https://openalex.org/W2164250994","https://openalex.org/W2050812265","https://openalex.org/W2508875083","https://openalex.org/W4388044630"],"abstract_inverted_index":{"Distal":[0],"leg":[1,41,193],"and":[2,77,103,128,150,185,194],"ankle":[3,43,195],"defects":[4,196],"with":[5,36,46,117],"exposed":[6],"bone":[7],"are":[8],"difficult":[9],"to":[10],"reconstruct,":[11],"particularly":[12],"after":[13,69,75],"contaminated":[14],"open":[15],"injuries.":[16],"Free":[17],"tissue":[18],"transfer":[19],"is":[20,200],"unavailable":[21],"in":[22],"many":[23],"resource-limited":[24],"hospitals,":[25],"making":[26],"reliable":[27],"pedicled":[28],"flaps":[29,142],"essential.":[30],"We":[31],"report":[32],"three":[33,166],"adult":[34],"men":[35],"Gustilo-Anderson":[37],"type":[38],"IIIB":[39],"distal":[40,66,122,192],"or":[42,156],"injuries":[44],"treated":[45],"a":[47,55,63,91,110,118],"distally":[48,175],"based":[49,176],"peroneus":[50,131,140,177],"brevis":[51,132,141,178],"muscle":[52],"flap":[53,124,133,179],"at":[54],"Sudanese":[56],"teaching":[57],"hospital.":[58],"In":[59,88],"the":[60,89,174,190],"first":[61],"patient,":[62],"10\u00d75":[64],"cm":[65,93,112],"tibial":[67],"defect":[68,96],"motorcycle":[70],"trauma":[71],"was":[72,97,158],"covered":[73,98,116],"immediately":[74],"debridement":[76],"external":[78],"fixation,":[79],"followed":[80],"by":[81],"skin":[82,146],"grafting":[83],"on":[84,99,136],"postoperative":[85],"day":[86,101,137],"seven.":[87],"second,":[90],"7\u00d75":[92],"lateral":[94],"malleolar":[95],"post-injury":[100],"four":[102],"grafted":[104],"immediately.":[105],"The":[106],"third":[107],"patient":[108],"had":[109],"13\u00d76":[111],"donkey-bite/crush":[113],"injury":[114],"initially":[115],"soleus":[119,123],"flap;":[120],"partial":[121],"loss":[125],"re-exposed":[126],"bone,":[127],"an":[129],"adjunct":[130],"restored":[134],"coverage":[135,184,188],"six.":[138],"All":[139,165],"remained":[143],"viable,":[144],"all":[145],"grafts":[147],"took":[148],"satisfactorily,":[149],"no":[151],"clinically":[152],"apparent":[153],"deep":[154],"infection":[155],"osteomyelitis":[157],"documented":[159],"during":[160],"six":[161],"months":[162],"of":[163],"follow-up.":[164],"limbs":[167],"were":[168],"salvaged.":[169],"These":[170],"cases":[171],"show":[172],"that":[173],"can":[180],"provide":[181],"both":[182],"primary":[183],"reactive":[186],"salvage":[187],"for":[189],"selected":[191],"when":[197],"microsurgical":[198],"reconstruction":[199],"unavailable.":[201]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-18T00:00:00"}
