Soft tissue and bone defects of the lower leg, around the ankle, and more distal regions always require coverage by large local or distant flaps. Authors used the distally based peroneus brevis muscle flap for the treatment of 10 patients with soft tissue defects over the tendo-achilis: That occurred after extensive dissection of skin jeopardizing its vascularity or after tendo-ahilis grafting by fascia-lata to reconstruct tendo-achilis. All defects were small to medium sized between 10.56 to 21.84cm2. All flaps passed without major complications. The distally based peroneus brevis muscle represents a very reliable flap for coverage of small and medium defects over the tendo-achilis and may be preferable to the use of free flaps.