{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:24:34Z","timestamp":1759335874080},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T00:00:00Z","timestamp":1457913600000},"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":[[2017,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The posteromedial thigh (PMT) perforator flap is a new reliable flap with versatility. The purpose of this article was to report our experience with the use of free PMT flaps for reconstruction of defects of the lower extremity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>From July 2014 to May 2015, 8 patients received reconstruction with 8 free PMT flaps. The defect locations included the heel (1 case), dorsal foot (2 cases), plantar foot (1 case), lateral malleolus (1 case), Achilles tendon (1 case), and tibia (2 cases). Flaps were raised based on the first medial perforator of the profunda femoris artery (PFA) (7 cases) and medial circumflex femoral artery (LCFA) perforator (1 case). The dorsalis pedis artery (3 cases), anterior tibia artery (1 cases), posterior tibial artery (3 cases), and medial sural pedicle (1 case) were dissected as recipient vessels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The flap sizes varied from 10 \u00d7 10 to 30 \u00d7 11 cm. All the flaps survived completely after surgery. The donor sites were all primarily closed with minimal morbidities. Follow\u2010up observations were conducted for 3\u201312 months, and all patients had good functional recovery with satisfactory cosmetic results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Perforators arising from the PFA in the posterior medial thigh can be used to design pliable fasciocutaneous flaps. The pedicle length and the vessel diameter are adequate for microvascular anastomosis to the lower extremities recipient vessels. The free PMT flap serves as a good new option for reconstructing lower extremity defects. \u00a9 2016 Wiley Periodicals, Inc. Microsurgery 37:865\u2013872, 2017.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30044","type":"journal-article","created":{"date-parts":[[2016,3,18]],"date-time":"2016-03-18T13:46:35Z","timestamp":1458308795000},"page":"865-872","source":"Crossref","is-referenced-by-count":15,"title":["The posteromedial thigh (PMT) flap for lower extremity reconstruction"],"prefix":"10.1002","volume":"37","author":[{"given":"Mario F.","family":"Scaglioni","sequence":"first","affiliation":[{"name":"Department of Plastic and Hand Surgery University Hospital Zurich Zurich Switzerland"},{"name":"Department of Plastic and Reconstructive Surgery Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching\u2010Hua","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College 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Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,3,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1343952"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000239579.37760.92"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181bcf189"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/01.PRS.0000138750.54859.AC","article-title":"The use of anterolateral thigh perforator flaps in chronic osteomyelitis of the lower extremity","volume":"115","author":"Hong JP","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"e_1_2_7_6_1","article-title":"Intraoperative flap design using ICG monitoring of a conjoined fabricated anterolateral thigh\/tensor fasciae latae perforator flap in a case of extensive soft tissue reconstruction at the lower extremity","author":"Buehrer 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