{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:02:28Z","timestamp":1753869748658,"version":"3.41.2"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T00:00:00Z","timestamp":1680220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81974331 81672144"],"award-info":[{"award-number":["81974331 81672144"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The free peroneal artery perforator (FPAP) flap is used for soft tissue defects after burns and trauma. However, the use of FPAP flaps to repair limb soft tissue defects for immediate reconstruction was rarely reported previously. Therefore, the purpose of this report is to evaluate free peroneal artery perforator flap to reconstruct traumatic limb soft tissue defects for immediate reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>A total of 25 cases of limb soft tissue defects undergoing immediate reconstruction of FPAP flap transfer were retrospectively evaluated from January 2019 to June 2019 in our institute. The locations of defects included the palm (10 cases), finger (5 cases), foot (7 cases), ankle (2 cases) and wrist (1 case). The sizes of defect varied from 3\u2009\u00d7\u20092\u2009cm to 15\u2009\u00d7\u20097\u2009cm (54.1\u2009cm<jats:sup>2<\/jats:sup> in average). Flaps were harvested based on the peroneal perforator vessels, initially marked using hand\u2010held Doppler.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Average size of harvested flap was 9.7\u2009\u00d7\u20096.2\u2009cm (ranging from 3.5\u2009\u00d7\u20092\u2009cm to 16\u2009\u00d7\u20098\u2009cm). All perforators were harvested from the peroneal artery and the arterial diameter ranged from 0.8 to 1.7\u2009mm. The average pedicle length was 3.04\u2009cm (range, 1.85\u20134.75\u2009cm). Five vascular thrombosis were found including three cases of arterial thrombosis and two cases of venous thrombosis which were successfully salvaged by re\u2010operation and vein graft. Satisfying functional outcome and acceptable appearance were achieved at 6\u2009months or longer after surgery (range, 6\u201315\u2009months, 12\u2009months in average). All flaps survived at the end\u2010point.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The FPAP flap is a reliable and thin fasciocutaneous flap, which can be used for repairing limb soft tissue defects. The FPAP flap can be used for covering defects with various appearances, locations, and sizes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31044","type":"journal-article","created":{"date-parts":[[2023,3,31]],"date-time":"2023-03-31T07:20:59Z","timestamp":1680247259000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Free peroneal artery perforator flap for reconstruction of traumatic limb soft tissue defects: A retrospective case series study"],"prefix":"10.1002","volume":"44","author":[{"given":"Jia\u2010lin","family":"Song","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai 200233 China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing\u2010bo","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Shanghai Sixth People's 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