{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:13:16Z","timestamp":1788383596289,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,1,26]],"date-time":"2022-01-26T00:00:00Z","timestamp":1643155200000},"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":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The tibiofibular joint can be reconstructed after distal fibular sarcoma salvage surgery to maintain ankle stability and achieve early gait. Classical reconstructive options include ligamentoplasties, arthrodesis, prosthetic replacement, bone grafts, and pedicled ipsilateral or free contralateral fibular bone flaps. We present a novel strategy for reconstruction of the ankle in an elderly patient and a literature review. A 68\u2010year\u2010old man presented with a high\u2010grade myxofibrosarcoma to his distal fibula. Wide resection of the tumor and adjacent structures left a 12\u2009\u00d7\u200912\u2009\u00d7\u20098\u00a0cm defect including the distal fibula (10\u00a0cm), a 2\u00a0cm fragment of the lateral cortex of the tibia, the lateral anterior and superficial posterior compartments, and the lateral compartment. A 3\u00a0cm distal fibula remnant was left in the ankle mortice. Reconstruction was performed using a free ipsilateral 13\u2010cm diaphyseal osteocutaneous fibular flap telescoped into the distal fibula remnant and anastomosed to the anterior tibial artery. A pre\u2010bent L\u2010shaped locking plate was used to reconstruct a syndesmotic joint. A 21\u2009\u00d7\u200913 cm suprafascial ALT flap was anastomosed to the proximal stump of the peroneal artery to cover the soft tissue defect. The patient had no complications and was ambulating with full weight bearing by postoperative week 11. He received postoperative chemo and radiotherapy. Three years postoperatively, he is tumor free, has complete ankle ROM and stability, and ambulates with no restrictions. Limb sparing surgery with a functional tibiofibular joint reconstruction should be considered to attain an early functional recovery after distal fibula sarcomas resection.<\/jats:p>","DOI":"10.1002\/micr.30864","type":"journal-article","created":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T07:53:48Z","timestamp":1643270028000},"page":"490-499","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Ankle joint salvage surgery with an ipsilateral mid\u2010fibula osteocutaneous free flap and contralateral anterolateral thigh free flap: A case report and literature review"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-8235","authenticated-orcid":false,"given":"Teresa","family":"Nunez\u2010Villaveiran","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Department Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8024-8986","authenticated-orcid":false,"given":"Paul","family":"Zamora","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0141-9586","authenticated-orcid":false,"given":"Jaume","family":"Masia","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3399-0672","authenticated-orcid":false,"given":"Manuel","family":"Fern\u00e1ndez\u2010Garrido","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Department Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,26]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.77B2.7706342"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.12.004"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453678608994394"},{"issue":"3","key":"e_1_2_5_5_1","first-page":"627","article-title":"Transplantation of the fibula in the same leg: Transposition of the fibula for loss of the tibial diaphysis","volume":"20","author":"CARRELL W. 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