{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:28:30Z","timestamp":1787797710887,"version":"build-2784847793"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Autologous skin grafting has been the popular method for reconstructing post\u2010burn defects. However, this technique has limitations such as high contracture rates and inadequate volume coverage. This report aims to propose the principles and advantages of utilizing microsurgically linked perforator flaps for the reconstruction of extensive burn defects and associated post\u2010burn scar contracture in the lower and upper extremities and trunk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Patients who underwent free tissue transfer for primary and secondary burn wound reconstruction at a single institution between 2016 and 2023 were included in the study. Patients received thoracodorsal vascular tree\u2010linked flaps for the correction of post\u2010burn deformities. Postoperative results were evaluated, including flap survival, complications, and the DASH self\u2010report questionnaire for upper extremity reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Among the 20 patients, 12 required primary reconstruction, while 8 underwent secondary reconstruction using anastomotic chimeric free tissue transfer. The majority of burn injuries resulted from thermal contact (<jats:italic>n<\/jats:italic>\u2009=\u20098), followed by flames (<jats:italic>n<\/jats:italic>\u2009=\u20095), scalds (<jats:italic>n<\/jats:italic>\u2009=\u20094), electrical contact (<jats:italic>n<\/jats:italic>\u2009=\u20092), and friction (<jats:italic>n<\/jats:italic>\u2009=\u20091). The most frequently utilized combinations were the thoracodorsal artery perforator (TDAp) and anterolateral thigh (ALT) flap (11 cases). Additionally, four cases involved the pedicled TDAp flap in conjunction with the deep inferior epigastric artery perforator (DIEP) flap. The average DASH score for upper extremity burn patients was 10.58.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Three\u2010dimensional tissue coverage achieved through the linkage of two or even three independent free flaps is increasingly utilized in post\u2010burn reconstruction. This approach offers multiple advantages and represents a viable option for burn reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.31254","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:36:09Z","timestamp":1730802969000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Linked Flaps of the Thoracodorsal Vascular Tree for Correcting Extensive Post\u2010Burn Deformities and Achieving Optimal Reconstruction Outcomes"],"prefix":"10.1002","volume":"44","author":[{"given":"Hyun\u00a0Jung","family":"Ryoo","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u00a0Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji\u00a0Ah.","family":"Park","sequence":"additional","affiliation":[{"name":"Design Lab of Technology Commercialization Center Industry\u2010University Cooperation Foundation of Hanyang University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn\u00a0Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, College of Medicine Hanyang University  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5156-2239","authenticated-orcid":false,"given":"Hyung\u2010Sup","family":"Shim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine The Catholic University of Korea  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.5505\/tjtes.2012.45538"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2019.02.009"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101714290"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0094-1298(03)00046-4"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2012.07.011"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000625"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2014.01.008"},{"issue":"2","key":"e_1_2_10_9_1","first-page":"95","article-title":"Burn Injury: Review of Pathophysiology and Therapeutic Modalities in Major Burns","volume":"30","author":"Kaddoura I.","year":"2017","journal-title":"Annals 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