{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:34:30Z","timestamp":1774521270120,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"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":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pelvic ring reconstruction after internal hemipelvectomy is an extremely challenging surgical procedure, and mandatory reconstruction is to provide a durable and pain\u2010free functional outcome, especially for young, active patients. One of the most widely employed techniques is reconstruction with a double\u2010barreled fibular free flap (DBF). The aim of our work was an in\u2010depth analysis of the outcome of pelvic ring reconstruction performed using the above\u2010mentioned method, in particular looking for a correlation between the fixation technique and either ambulation status or complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A systematic review was performed in November 2020 using PubMed and MedLine Ovid databases according to the PRISMA guidelines and the results were statistically analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Studies were published between 1994 and 2015. A DBF was used in each case, with a total of 30 patients. Reconstruction was performed with screws in 13 cases, Cotrel\u2010Dubousset rod fixation in 6, screws and plate in 5, screws with external fixation in 4, and ISOLA in 2. Follow\u2010up time ranged from 3 to 131\u2009months. Functional outcome was excellent in 4 patients and good in 26 patients. Statistical analysis showed no statistical evidence of existing correlation between fixation technique and complications (<jats:italic>p<\/jats:italic>\u00a0=\u2009.873), while statistical correlation between age and fixation technique was found (<jats:italic>p<\/jats:italic>\u00a0&lt;\u2009.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Reconstruction of pelvic ring with DBF provides an overall good functional outcome. Our data indicate that there is no statistical evidence of existing correlation between the fixation technique and either complications or ambulation status.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30806","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T11:46:20Z","timestamp":1631187980000},"page":"287-294","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pelvic ring reconstruction with double\u2010barreled fibular free flap: A systematic review"],"prefix":"10.1002","volume":"42","author":[{"given":"Stefano","family":"Bastoni","sequence":"first","affiliation":[{"name":"C.O.O. Azienda Socio Sanitaria Territoriale Gaetano Pini  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1501-8022","authenticated-orcid":false,"given":"Elena","family":"Lucattelli","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4610-8271","authenticated-orcid":false,"given":"Federico","family":"Cipriani","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giacomo","family":"Cannamela","sequence":"additional","affiliation":[{"name":"Data Scientist  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Innocenti","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1858-3964","authenticated-orcid":false,"given":"Giulio","family":"Menichini","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Microsurgery Careggi University Hospital  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,9]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"200","article-title":"Incorporation and clinical results of large allografts of the extremities and pelvis","volume":"307","author":"Aho A. J.","year":"1994","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B7.23497"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000180046.97466.bc"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181706ff2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31829778e1"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860060-00002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274030-00003"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181c2a607"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1988.01400330097015"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198803000-00011"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200107000-00025"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000150371.77314.52"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000007095"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B8.0821121"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-012-2643-6"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000203485.90711.1b"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971040-00002"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2197-7"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.04.008"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000181736.85276.78"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30559"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.4081\/or.2011.e4"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199406000-00023"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920130504"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30806","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.30806","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.30806","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T10:24:00Z","timestamp":1692959040000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.30806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,9]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1002\/micr.30806"],"URL":"https:\/\/doi.org\/10.1002\/micr.30806","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,9]]},"assertion":[{"value":"2020-06-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}