Several authors have reported the advantages of adipofascial flaps. We desc
ribe a series of flaps based exclusively on the perforator of the peroneal
artery. This is an axially patterned distally based adipofascial flap usefu
l for small and medium-sized defects over the distal fibula, lateral malleo
lus, the Achilles region or the dorsum of the foot. It can be an excellent
alternative to fasciocutaneous or free flaps, with minimum donor-site morbi
dity, good cosmesis and an excellent functional result. (C) 2001 The Britis
h Association of Plastic Surgeons.