{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:15:43Z","timestamp":1762866943050},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,9,4]],"date-time":"2016-09-04T00:00:00Z","timestamp":1472947200000},"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":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe the use of a composite flap composed of a sural neurofasciocutaneous flap and a vascularized peroneus longus tendon for the reconstruction of severe composite forearm tissue defects in a patient. A 43\u2010year\u2010old man had his left arm caught in a conveyor belt resulting in a large soft\u2010tissue defect of 18 \u00d7 11 cm over the dorsum forearm. The extensor carpi radialis, superficial radial nerve, and radial artery were severely damaged. A free neurofasciocutaneous composite flap measuring 16 \u00d7 11 cm was outlined on the patient's left lower leg to allow simultaneous skin, tendon, nerve, and artery reconstruction. The flap, which included the peroneus longus tendon, was elevated on the subfascial plane. After the flap was transferred to the recipient site, the peroneal artery was anastomosed to the radial artery in a flow\u2010through manner. The vascularized tendon graft with 15 cm in length was used to reconstruct the extensor carpi radialis longus tendon defect using an interlacing suture technique. As the skin paddle of the sural neurofasciocutaneous flap and the vascularized peroneus longus tendon graft were linked by the perforator and minimal fascial tissue, the skin paddle was able to rotate and slide with comparative ease. The flap survived completely without any complications. The length of follow\u2010up was 12 months and was uneventful. Range of motion of his left wrist joint was slightly limited to 75 degrees. This novel composite flap may be useful for reconstructing long tendon defects associated with extensive forearm soft tissue defects.<\/jats:p>","DOI":"10.1002\/micr.30104","type":"journal-article","created":{"date-parts":[[2016,9,4]],"date-time":"2016-09-04T17:56:44Z","timestamp":1473011804000},"page":"85-88","source":"Crossref","is-referenced-by-count":8,"title":["Peroneal perforator\u2010based peroneus longus tendon and sural neurofasciocutaneous composite flap transfer for a large soft\u2010tissue defect of the forearm: A case report"],"prefix":"10.1002","volume":"38","author":[{"given":"Kenji","family":"Hayashida","sequence":"first","affiliation":[{"name":"Faculty of Medicine Division of Plastic and Reconstructive Surgery, Department of Dermatology, Shimane University Shimane 693\u20108501 Japan"},{"name":"Division of Plastic and Reconstructive Surgery National Nagasaki Medical Center Nagasaki 856\u20108562 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroto","family":"Saijo","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery National Nagasaki Medical Center Nagasaki 856\u20108562 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Fujioka","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery National Nagasaki Medical Center Nagasaki 856\u20108562 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,4]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.10086"},{"key":"e_1_2_4_3_1","first-page":"724","article-title":"[Clinical application of free peroneal perforator\u2010based sural neurofasciocutaneous flap]","volume":"22","author":"Cai P.","year":"2008","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za 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