{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T18:33:16Z","timestamp":1773081196982,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T00:00:00Z","timestamp":1548115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We evaluated composite anterolateral thigh (ALT) flaps including vascularized fascia lata (FL), for stable soft tissue coverage and tendons restoration at various joint levels in a one\u2010stage procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective investigation including 21 \u201cfunctional\u201d ALT flaps between November 2006 and December 2016. In all patients included, FL was shaped to anatomical reproduce a tendon structure. Functional analysis included range of motion and force assessment. Functional scores were established according to Chen classification, DASH, and LEFS score. Defects resulted from tumor excision, trauma, burn, or infection\u2010debridement and were distributed in four main anatomical districts: knee (seven cases), ankle (six cases), forearm\u2010elbow (four cases), and hand\u2010wrist level (three cases).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen flaps were raised as free flaps, while two as distally\u2010based propeller flaps. Average follow\u2010up was 38\u2009months. Major complication requiring the harvest of a second flap was seen in two patients, whereas three flaps presented superficial necrosis and was treated in an outpatient regimen. We observed 81% of total ROM recovery compared to contralateral sides with 89% recovered articular stability. Best articulation outcomes were present in elbow reconstruction, while ankle reconstructions showed less articularity. Hospital stay was significantly reduced in hand and wrist functional reconstruction when compared with reconstruction at the ankle level (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ALT flap extended to vascularized FL provides a particularly effective and resistant tissue that can be folded to reconstruct and support tendinous structures. This can restore functional and structural integrity after complex defects in a single stage procedure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30431","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T07:47:29Z","timestamp":1548316049000},"page":"405-415","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Reconstruction of complex soft tissue defects including tendons with anterolateral thigh flap extended to fascia lata: Long term recovery and functional outcomes"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3143-8115","authenticated-orcid":false,"given":"Pietro G.","family":"di Summa","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Sapino","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"},{"name":"Department of Plastic and Reconstructive Surgery University Hospital of Modena  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1196-3075","authenticated-orcid":false,"given":"Mario","family":"Cherubino","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Varese  Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"De Santis","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery University Hospital of Modena  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastien","family":"Durand","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrice","family":"Zaugg","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Bauquis","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wassim","family":"Raffoul","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.03.007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2008.07.003"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182a884c8"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182008e12"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(86)80039-9"},{"issue":"3","key":"e_1_2_7_7_1","first-page":"149","article-title":"Functional reconstruction in large and complex soft tissue defects of forearm and hand with multifunctional anterolateral thigh flap","volume":"20","author":"Gideroglu K.","year":"2009","journal-title":"Eklem Hastaliklari Ve Cerrahisi = Joint Diseases & Related Surgery"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22481"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199502000-00018"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.06.012"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SAP.0000037270.95257.B9"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a80594"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.2000.3407"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2005.07.015"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000142416.91524.4C"},{"issue":"4","key":"e_1_2_7_16_1","first-page":"511","article-title":"Chronic rupture of the extensor apparatus of the knee joint","volume":"60","author":"Poonnoose P. M.","year":"2005","journal-title":"The Medical Journal of Malaysia"},{"issue":"2","key":"e_1_2_7_17_1","first-page":"103","article-title":"Distal biceps tendon injuries\u2014Current treatment options","volume":"68","author":"Quach T.","year":"2010","journal-title":"Bulletin of the NYU Hospital for Joint Diseases"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0954411914522023"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(89)90059-2"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-013-1833-3"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(84)90002-X"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199512000-00032"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(87)90185-8"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198804000-00015"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318234e8e2"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000184464.39740.49"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22490"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.12.035"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.30431","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30431","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30431","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30431","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T23:35:16Z","timestamp":1694302516000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30431"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,22]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1002\/micr.30431"],"URL":"https:\/\/doi.org\/10.1002\/micr.30431","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1,22]]},"assertion":[{"value":"2018-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}