On the other hand, the results of distal revascularization based on the peroneal artery
have been reported to be inferior to those obtained after the revascularization of the anterior or the posterior tibial artery.
The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery
after ankle arthroscopy .
bypass: a reappraisal of its value in limb salvage.
Wound composition Revascularization strategy Feet with toe 85 (45.9%) = 21 85 anterior or wounds posterior exclusively tibial artery Feet with toe 33 (17.8%) revascularization wounds and 2 additional proximal wounds peroneal artery
Wounds that revascularisation could be 14 additional unambiguously argument for classified anterior tibial revascularisation All 16 (8.6%) 3 additional Some 5 (2.7%) argument for posterior tibial None 12 (6.5%) revascularisation Feet with proximal 67 (36.2%) 2 proximal wounds wounds suggest treatment exclusively of both Wounds that tibialarteries ?
Proximal of peroneal artery
was reached at deeper regions and by lateral direction; distal of peroneal artery
was reached by a lateral incision on the distal fibula.
3: Stenosis severity grade in CDUS and CTA in Tibio-peroneal trunk, ATA, PTA, Peroneal artery
In those cases were one vessel is resected, simultaneous harvest was done, but the distal peroneal artery
is not ligated until the need for a flow through flap was discerned.
Posterior Tibial Artery, Dorsalis Paedis Artery (Anterior Tibial Artery) and Perforating Peroneal Artery
supplying blood to the head, neck, and body of the talus.(see Diagram.1)
They are supplied by peroneal artery
and innervated by the superficial peroneal nerve.
 Though the success rate of the sural flap is high if the peroneal artery
is patent, when the soft-tissue defect is located at the dorsum of the metatarsophalangeal joint, distal marginal necrosis of the flap usually occurs, which is the exact part of the flap that one needs the most.
The size of peroneal artery
is inversely related to the size of anterior tibial artery and posterior tibial artery.
Locoregional flaps for lower leg and ankle defects such as the peroneal artery
flap, anterior tibial artery flap and posterior tibial artery flap (4-6) have the disadvantage of sacrificing a major artery in already traumatized limb.