Rare variant of the intrasoleus musculocutaneous perforator: Clinical considerations in raising a free peroneal osteocutaneous flap

To improve the stability of the cutaneous portion of the vascularized free peroneal osteocutaneous flap (the so-called peroneal flap), various anatomi c studies have been conducted, and a reliable notion of the course of cutan eous perforators has been provided; however, anatomic anomalies have occasi onally been observed. The authors encountered a rare type of cutaneous perf orator in the distal third of the lower leg. It was located under the infer ior surface of the flexor hallucis longus muscle, after running in the sole us muscle parallel to the fibula, and then joined the posterior tibial arte ry. Since absolutely definite diagnostic methods have not been established for the course of the cutaneous perforator, surgery with the possibility of secondary anastomosis, always with a separate peroneal flap, should be a c onsideration.