{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:53:05Z","timestamp":1774421585142,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:00:00Z","timestamp":1425254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:p>Reconstruction of the lateral malleolus or calcaneus region is challenging because of poor vascularity, minimal presence of soft tissue, and difficulties with flap positioning during and after the operation. In many cases, local flaps are limited in terms of size, durability, and vascularity. Free tissue transfer can be useful for complicated wounds. We report here on the results of the reconstruction in this region using free thoracodorsal artery perforator flaps. Between October 2010 and October 2013, 16 cases of lateral malleolus or calcaneus defects were reconstructed using free thoracodorsal artery perforator flaps. The defects varied from 2 \u00d7 5 cm<jats:sup>2<\/jats:sup> to 12 \u00d7 16 cm<jats:sup>2<\/jats:sup>, and the flaps from 3 \u00d7 5 cm<jats:sup>2<\/jats:sup> to 10 \u00d7 15 cm<jats:sup>2<\/jats:sup>. Two cases were reconstructed using chimeric\u2010pattern flaps. Only the superficial adipose layers were harvested for all the flaps, without further thinning or debulking process. Five cases with complications occurred, including three cases of partial necrosis of the flap and two cases of venous congestion caused by thrombosis and compression of the venous pedicle, and one flap was totally lost. The mean follow\u2010up duration was 11.8 months. All the patients were able to wear shoes. All but one were able to walk. The thoracodorsal artery perforator flap can be made super\u2010thin, allowing patients to wear shoes, and it can be harvested in a chimeric\u2010pattern for complex defects. Therefore, it may represent a viable alternative choice for the reconstruction of the lateral malleolus and calcaneus region. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 36:198\u2013205, 2016.<\/jats:p>","DOI":"10.1002\/micr.22389","type":"journal-article","created":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T06:51:48Z","timestamp":1425279108000},"page":"198-205","source":"Crossref","is-referenced-by-count":24,"title":["Reconstruction of the lateral malleolus and calcaneus region using free thoracodorsal artery perforator flaps"],"prefix":"10.1002","volume":"36","author":[{"given":"Sang Wha","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery The Catholic University of Korea Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong Hyun","family":"Youn","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery College of Medicine Hanyang University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyu Tae","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of 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