{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T01:35:20Z","timestamp":1780104920633,"version":"3.54.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,10,12]],"date-time":"2019-10-12T00:00:00Z","timestamp":1570838400000},"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":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reconstruction of foot structures is challenging because of the need to restore both anatomy and function. Extensor hallucis longus (EHL) excision without reconstruction could result in a flexion deformity of the toe at the interphalangeal joint. In this report, we present a case of the use of a palmaris longus tendon included in a fasciocutaneous radial forearm free flap to reconstruct EHL tendon and soft tissues of the distal foot dorsum. A 41\u2010year\u2010old woman presented with a recurrence of myxoinflammatory fibroblastic sarcoma on the medial part of the left foot dorsum. The EHL tendon was sacrificed, leaving a soft\u2010tissue defect of 14\u2009\u00d7\u20095\u2009cm and 14\u2010cm tendon gap. A 14\u2009\u00d7\u20095\u2009cm radial forearm flap with a 16\u2010cm section of palmaris longus tendon was harvested from the left forearm. Radial artery and its comitant vein were anastomosed with dorsalis pedis artery and vein. EHL tendon repair was performed from the composite mass to the proximal and distal stumps. No complication in the postoperative period occurred. At latest follow\u2010up, 12\u2009months postoperatively, the patient showed a normal joint function and was satisfied with the treatment. Palmaris longus tendon included in a radial forearm free flap could be recommended for combined soft tissue and tendon defects, particularly on the foot dorsum.<\/jats:p>","DOI":"10.1002\/micr.30523","type":"journal-article","created":{"date-parts":[[2019,10,12]],"date-time":"2019-10-12T12:08:21Z","timestamp":1570882101000},"page":"391-394","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Extensor hallucis longus tendon and soft\u2010tissue reconstruction with palmaris longus tendon included in a radial forearm free flap: A case report"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1501-8022","authenticated-orcid":false,"given":"Elena","family":"Lucattelli","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Bastoni","sequence":"additional","affiliation":[{"name":"C.O.O., Azienda Socio Sanitaria Territoriale Gaetano Pini  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria S.","family":"Bartoli","sequence":"additional","affiliation":[{"name":"C.O.O., Azienda Socio Sanitaria Territoriale Gaetano Pini  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Menichini","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Innocenti","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Primo A.","family":"Daolio","sequence":"additional","affiliation":[{"name":"C.O.O., Azienda Socio Sanitaria Territoriale Gaetano Pini  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,12]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2017.11.005"},{"issue":"2","key":"e_1_2_4_3_1","first-page":"236","article-title":"The free forearm flap\u2014A report of 25 cases","volume":"11","author":"Chang T. 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