Altinkaya A, et al. - Researchers report their experience using the distally based peroneal artery perforator flap in the reconstruction of combined defects of the Achilles tendon and overlying soft tissue. Researchers included seven individuals with Achilles tendon injury and full-thickness soft tissue defects over the Achilles region who had undergone tendon repair and soft tissue reconstruction with the distally based peroneal artery perforator flap. They distinguished perforator vessels at the septum between the peroneus longus and soleus muscles. For the reconstruction of soft tissue defects around the Achilles tendon region, it has been observed that a distally based peroneal artery perforator flap can be considered as a reliable alternative. The benefits include the extended reach of the flap for the defects around the plantar and dorsal aspects of the foot, provided by the perforator dissection, convenience with footwear and walking, provided by the skin texture similarity with the target region, creating a protective surface to allow tendon gliding and prevent tissue adhesions after the tendon repair, provided by the crural fascia included in the flap, obviating the need for microsurgical anastomosis and associated length of the operation.