{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:36:22Z","timestamp":1769009782077,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T00:00:00Z","timestamp":1583193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81701923"],"award-info":[{"award-number":["81701923"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>The keystone design perforator island flap (KDPIF) is often used to cover defects in reliable blood supply and similar skin patterns, but its mobility is limited, especially when the wound is large or occurs around joints. Here, we describe a modified KDPIF, boat\u2010shaped flap. We added a V shape along the lateral arc, forming a V\u2010Y flap on KDPIF's outer arc shapes like a sail. This paper also describes a clinical study to evaluate this method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>From September 2014 to March 2017, 31 patients were operated on using the boat\u2010shaped flap in our department and were followed up annually with clinical evaluation. The wound locations included joints (n\u2009=\u200911), trunk (n\u2009=\u200918), and face (n\u2009=\u20092). Fifteen defects were \u22655\u2009\u00d7\u20095\u2009cm<jats:sup>2<\/jats:sup>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 6 to 24 months of follow\u2010up, 29 patients had first\u2010intention healing and were satisfied with the morphology and function. Secondary healing was observed in two patients, and the wounds were closed after dressing treatment for 2 weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The boat\u2010shaped flap enhances the mobility and achieves strong resistance to tension. The modified curvilinear shape prevents the joint activity from being restricted, with visually concealed scars. It is particularly applicable for repairing large wounds and defects around joints.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25879","type":"journal-article","created":{"date-parts":[[2020,3,4]],"date-time":"2020-03-04T04:29:49Z","timestamp":1583296189000},"page":"1090-1096","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The use of modified keystone flap in periarticular or large superficial tumor resection surgery"],"prefix":"10.1002","volume":"121","author":[{"given":"Shuo","family":"Fang","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstruction Shanghai Changhai Hospital Affiliated to Second Military Medical University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingli","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction General Hospital of Jinan Military Region Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiya","family":"Tang","sequence":"additional","affiliation":[{"name":"Peking Union Medical College Plastic Surgery Hospital and Institute Chinese Academy of Medical Sciences Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiye","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Shanghai Changhai Hospital Affiliated to Second Military Medical University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Shanghai Changhai Hospital Affiliated to Second Military Medical University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Xing","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Shanghai Changhai Hospital Affiliated to Second Military Medical University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3397-7275","authenticated-orcid":false,"given":"Chao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstruction Shanghai Changhai Hospital Affiliated to Second Military Medical University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02638.x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.12303"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2012.08.027"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2011.05790.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06021.x"},{"key":"e_1_2_11_7_1","first-page":"C5","article-title":"Keystone flap: versatile flap for reconstruction of limb defects","volume":"9","author":"Rao AL","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/ddg.12542","article-title":"The keystone flap: expanding the dermatologic surgeon's armamentarium","volume":"13","author":"Hessam S","year":"2015","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06222.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2012.06265.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182547f55"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182402eb2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000995"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12262-015-1406-5"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-011-1448-3"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002742"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001114"},{"key":"e_1_2_11_18_1","first-page":"10","article-title":"[The keystone design perforator island flap in reconstructive surgery]","volume":"30","author":"Yang C","year":"2014","journal-title":"Zhonghua Zheng Xing Wai Ke Za Zhi"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002228"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.03.023"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjso.25879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.25879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jso.25879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.25879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:18:08Z","timestamp":1694045888000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.25879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,3]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1002\/jso.25879"],"URL":"https:\/\/doi.org\/10.1002\/jso.25879","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,3]]},"assertion":[{"value":"2019-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}