{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:11:35Z","timestamp":1791666695211,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T00:00:00Z","timestamp":1442188800000},"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":[[2015,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Reconstruction of three\u2010dimensional lower extremity defects is challenging because the dead space should be filled and the surface defect should be covered to prevent complications. We present our experience using the vastus lateralis muscle\u2010chimeric anterolateral thigh (ALT) free flap for reconstructing three\u2010dimensional lower extremity defects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This report describes 12 cases of three\u2010dimensional lower extremity defects that were treated via reconstruction using a chimeric ALT free flap between October 2010 and January 2015. The defects involved the foot (10 patients), distal lower leg (1 patient), and proximal lower leg (1 patient). The sizes of the surface defects ranged from 7.5 \u00d7 3 cm<jats:sup>2<\/jats:sup> to 16 \u00d7 7 cm<jats:sup>2<\/jats:sup>, and the sizes of the estimated dead spaces ranged from 2 \u00d7 3 cm<jats:sup>2<\/jats:sup> to 8 \u00d7 5 cm<jats:sup>2<\/jats:sup>. The skin and muscle segment sizes were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sizes of the skin flaps ranged from 8 \u00d7 4 cm<jats:sup>2<\/jats:sup> to 17.5 \u00d7 8 cm<jats:sup>2<\/jats:sup>, and the sizes of the muscle segments ranged from 2 \u00d7 3 cm<jats:sup>2<\/jats:sup> to 9 \u00d7 5 cm<jats:sup>2<\/jats:sup>. Eleven cases exhibited full flap survival and one case exhibited partial necrosis. The follow\u2010up periods ranged from 2 months to 38 months. We did not observe any ranges of motion limitations in the hip and knee joints of the operated leg, or any secondary complications (e.g., abscess or prolonged drainage).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The vastus lateralis muscle\u2010chimeric ALT free flap is a useful option for reconstructing three\u2010dimensional lower extremity defects. \u00a9 2015 Wiley Periodicals, Inc. Microsurgery 35:634\u2013639, 2015.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.22494","type":"journal-article","created":{"date-parts":[[2015,9,14]],"date-time":"2015-09-14T14:52:51Z","timestamp":1442242371000},"page":"634-639","source":"Crossref","is-referenced-by-count":24,"title":["Use of the chimeric anterolateral thigh free flap in lower extremity reconstruction"],"prefix":"10.1002","volume":"35","author":[{"given":"Sang Woo","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Ulsan University Hospital, University of Ulsan College of Medicine Ulsan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyu Nam","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ulsan University Hospital, University of Ulsan College of Medicine Ulsan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Pio","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Asan Medical Center, University of Ulsan College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Woo","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Asan Medical Center, University of Ulsan College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chae Ri","family":"Park","sequence":"additional","affiliation":[{"name":"Asan Institute for Life Science, University of Ulsan College of Medicine Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi Sun","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ulsan University Hospital, University of Ulsan College of Medicine Ulsan Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,9,14]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199907000-00016"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.07.009"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0022-5223(19)38617-9","article-title":"Surgical treatment of chronic empyema. A new one\u2010stage operation","volume":"90","author":"Iioka S","year":"1985","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199108000-00023"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SAP.0000044146.45427.1B"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.06.019"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2013.22.11.635"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2014.01.024"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1270536"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1287672"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.07.015"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.08.043"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182a6363c"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-19706"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182367c2f"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1548549"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173090-00006"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.20649"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22429"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000137135.15728.94"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-922433"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200206000-00007"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20487"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200106000-00019"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/229255031202000103"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200009010-00009"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-915203"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20425"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31827786bc"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.22494","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.22494","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:27:17Z","timestamp":1695572837000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.22494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,14]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,11]]}},"alternative-id":["10.1002\/micr.22494"],"URL":"https:\/\/doi.org\/10.1002\/micr.22494","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,14]]}}}