Coverage of posttraumatic wounds of the distal leg and ankle is a significant problem that requires expertise in a number of different treatment methods. Commonly, free tissue transfer is required to provide adequate vascularized tissue to cover these wounds. There are other alternatives that may be employed in appropriate circumstances that may obviate the need for a free flap. One such method is use of the extensor digitorum brevis flap for coverage of small wounds in this location. We report the use of this less common coverage method in two posttraumatic wounds of the ankle. Both patients had undergone open reduction and internal fixation that subsequently resulted in exposure of hardware. This reliable flap was used to provide adequate reconstruction in these cases with minimal morbidity. Transection of the dorsalis pedis artery distally allowed an adequate increase in pedicle length to result in easily covered wounds. Cadaver dissection was performed to help delineate the anatomy and arc of rotation of this reconstructive option. Review of this technique illustrates that this flap may be an invaluable resource in reconstruction of the distal lower extremity.