{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T04:30:55Z","timestamp":1769315455515,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2005,11,11]],"date-time":"2005-11-11T00:00:00Z","timestamp":1131667200000},"content-version":"vor","delay-in-days":314,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In this article, long\u2010term outcomes of foot reconstruction with free lateral arm fasciocutaneous flaps were retrospectively analyzed in 50 patients. The patients, 38 men and 12 women, ranged in age from 7\u201373 years (mean, 43.5 years). Indications for surgery included trauma (32 patients), diabetes mellitus (7 patients), burns (7 patients), chronic ulcers (3 patients), and tumor (1 patient). The locations of defects were the dorsum (n = 21), ankle (n = 12), medial (n = 6), lateral (n = 6), posterior heel (n = 2), and distal sole (n = 3) Concomitant bone injury occurred in 5 cases, and the weight\u2010bearing surface of the foot was involved in 5 patients. Defects ranged in size from 27\u201376 cm<jats:sup>2<\/jats:sup> (mean, 36.4 cm<jats:sup>2<\/jats:sup>). Successful reconstructions were accomplished in 46 cases (92%). Flap complications included total flap loss and below\u2010knee amputation (1 patient) and partial flap loss (3 patients); 75% (3\/4) of these cases had diabetes as a comorbid factor, and 25% (1\/4) had a concomitant bone injury. Six patients with dorsum defects required debulking of the flap (11.1%). None of the patients required modified shoes. In the majority of cases, flaps provided stable coverage and a gain in protective deep\u2010pressure sensation. In long\u2010term follow\u2010up (up to 4 years), patients regained their ambulation, free of pain. Even in weight\u2010bearing areas, none of the cases experienced ulceration or skin breakdown. Free lateral arm flaps provided excellent durability, with solid bony union and successful restoration of the contour of the foot in moderate\u2010sized foot defects. \u00a9 2005 Wiley\u2010Liss, Inc. Microsurgery 25:581\u2013588, 2005.<\/jats:p>","DOI":"10.1002\/micr.20176","type":"journal-article","created":{"date-parts":[[2005,11,16]],"date-time":"2005-11-16T23:48:42Z","timestamp":1132184922000},"page":"581-588","source":"Crossref","is-referenced-by-count":41,"title":["Reconstruction of foot defects with free lateral arm fasciocutaneous flaps: Analysis of fifty patients"],"prefix":"10.1002","volume":"25","author":[{"given":"Betul Gozel","family":"Ulusal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010Te","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Engin","family":"Ulusal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Hung","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,11,28]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198611000-00017"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200044030-00003"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198008000-00012"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110078300400102"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198609000-00010"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198510000-00020"},{"key":"e_1_2_1_8_2","first-page":"289","article-title":"Microsurgical reconstruction of wide simple and compound foot defects","volume":"57","author":"Santanelli F","year":"2002","journal-title":"Minerva Chir"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679509157163"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199811000-00029"},{"key":"e_1_2_1_11_2","first-page":"26","article-title":"Free vascularized soft tissue flaps for coverage of the foot and ankle","volume":"314","author":"Gould JS","year":"1995","journal-title":"Clin Orthop"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920150110"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199906000-00003"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199810000-00044"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0007-1226(78)90057-7"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198505000-00001"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199401000-00010"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199105000-00015"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453679308993648"},{"key":"e_1_2_1_20_2","first-page":"1719","volume":"96","author":"Sylaidis P","year":"1995","journal-title":"A composite lateral arm flap for the secondary repair of a multiply ruptured Achilles tendon"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199212000-00004"},{"key":"e_1_2_1_22_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-815641"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.10118"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20094"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20176","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20176","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T18:12:12Z","timestamp":1700158332000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,1]]},"references-count":23,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2005,1]]}},"alternative-id":["10.1002\/micr.20176"],"URL":"https:\/\/doi.org\/10.1002\/micr.20176","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,1]]}}}