Introduction: Soft tissue defects of the distal lower extremity are notoriously difficult wounds to 
treat. This area of the leg has a thin integument, relatively superficial tendons and a Soft tissue defects 
of the distal lower extremity are notoriously difficult wounds to paucity of soft tissue. Aim of the 
Work: The aim of this study was to; Clinically evaluate the role of peroneus brevis muscle flap 
for coverage of defects (post-traumatic, post-burn) around the ankle. Patients and Methods: Study 
Design: This is a prospective nonrandomized clinical study. The study was conducted in the plastic 
surgery department Minia university hospital in the period from January to October 2018. It included 
20 patients presented with defects around the ankle. We had the approval of the ethics committee of 
faculty of medicine Minia university. Results: This clinical study includes reconstruction of 
defects around the ankle by peroneus brevis muscle flap in 20 patients admitted at Minia 
university hospital from January to October 2018. Conclusion: We conclude that, the peroneus 
brevis muscle flap is an option in this situation because of its adjacent location, reliability, and the 
relative simplicity of technique.