{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T18:27:26Z","timestamp":1786991246763,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Distal leg reconstruction is particularly challenging due to limited local options. This challenge is accentuated when there is a concurrent tendon rupture and threatened hardware, making soft tissue coverage crucial for preserving limb function. This report describes a 37\u2010year\u2010old male with a 5 \u00d7\u20098\u2009cm wound on the distal leg, including a 7.5\u2009cm loss of tibialis anterior tendon (TAT) with underlying tibial hardware. A 5 \u00d7\u20099\u2009cm composite left radial forearm free flap (FF), including flexor carpi radialis and palmaris longus tendons, was used to reconstruct the TAT and cover the tibial hardware. The patient's postoperative course was smooth, and he was able to walk without assistance after 6\u2009weeks. At 10\u2009months, the patient continued to show strong ankle dorsiflexion and ambulated independently. This case demonstrates that a composite radial forearm FF may be an effective autologous option for simultaneous soft tissue coverage and tendon reconstruction in the lower extremity.<\/jats:p>","DOI":"10.1002\/micr.70227","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T05:41:42Z","timestamp":1779946902000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Composite Radial Forearm Free Flap for Tibialis Anterior Tendon Reconstruction: A Case Report"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5090-2358","authenticated-orcid":false,"given":"Stephanie E.","family":"Shin","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan R.","family":"Newsom","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabel E.","family":"Baek","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooks","family":"Kelly","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rendell","family":"Bernabe","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jatin P.","family":"Vemuri","sequence":"additional","affiliation":[{"name":"School of Medicine Virginia Commonwealth University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paschalia","family":"Mountziaris","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"DeJesus","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery Virginia Commonwealth University  Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2011.02.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2020.05.012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002959"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640015624757"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-00802"},{"issue":"3","key":"e_1_2_9_7_1","first-page":"258","article-title":"Free Radial Forearm Flap Transfer for the Reconstruction of the Achilles Tendon and Soft Tissue Defect: A Case Report","volume":"11","author":"Co\u015fkunol E.","year":"2005","journal-title":"Ulusal Travma ve Acil Cerrahi Dergisi"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005652"},{"issue":"3","key":"e_1_2_9_9_1","article-title":"Radial Forearm Free Flap for Head and Neck Defect Reconstruction: An Up\u2010to\u2010Date Review of the Literature","volume":"15","author":"Fatani B.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715589006"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-015-1580-y"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1748977"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.25270\/wmp.2020.12.1322"},{"issue":"1","key":"e_1_2_9_14_1","first-page":"47","article-title":"A Comparative Study on Tendon Transfer Surgery in Patients With Radial Nerve Palsy","volume":"3","author":"Yavari M.","year":"2014","journal-title":"World Journal of Plastic 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