{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:36:53Z","timestamp":1786988213961,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"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":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Technology\u2010assisted planning is increasingly integrated into reconstructive plastic surgery, including virtual reality, augmented reality, and three\u2010dimensional (3D) printing. 3D printing has been especially useful in maxillofacial surgery, both for patient\u2010specific cutting guides for osteotomies and for biomodels to customize osteosynthesis plates. However, to our knowledge, there have been no reports of a 3D\u2010printed cutting guide to harvest a custom iliac crest bone flap based on the deep branch of the superficial circumflex iliac artery perforator (SCIP) flap, together with a biomodel of the foot skeleton with the bone defect for intraoperative use. We report a 36\u2010year\u2010old man with a 45\u2010mm bone defect of the first metatarsal and a 9\u2009\u00d7\u20098\u2009cm skin defect on the dorsum of the right foot after firearm trauma. Computer\u2010aided design and computer\u2010aided manufacturing (CAD\/CAM) using open\u2010source software were used to prepare a cutting guide that allowed harvesting a bone flap of precise dimensions and a biomodel that enabled intraoperative adjustment of the flap without pedicle division. Reconstruction was achieved with a 45\u2010mm bone flap based on the deep branch of the SCIP and a 9\u2009\u00d7\u20098\u2009cm skin flap based on the superficial branch of the SCIP. Both flaps survived without complications; bone consolidation was observed at 4\u2009months, and at 10\u2009months, the patient had an adequate, pain\u2010free gait. This case illustrates that an open\u2010source, low\u2010cost 3D\u2010printing workflow may be a useful adjunct for planning and execution of metatarsal reconstruction with osteocutaneous free flaps.<\/jats:p>","DOI":"10.1002\/micr.70236","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:18:03Z","timestamp":1778048283000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["3D Printing of a Patient\u2010Specific Biomodel and Cutting Guide for Metatarsal Reconstruction With an Osteocutaneous\n                    <scp>SCIP<\/scp>\n                    Flap Using Open\u2010Source Software: A Case Report"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5425-9323","authenticated-orcid":false,"given":"Miguel L.","family":"Oba\u00edd","sequence":"first","affiliation":[{"name":"Plastic Surgery Department Hospital del Salvador  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Maxillofacial Department Universidad Mayor  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Parada","sequence":"additional","affiliation":[{"name":"Plastic Surgery and Burns Department Hospital del Trabajador  Santiago Chile"},{"name":"Cl\u00ednica Nea  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"O\u00f1ate","sequence":"additional","affiliation":[{"name":"Plastic Surgery and Burns Department Hospital del Trabajador  Santiago Chile"},{"name":"Cl\u00ednica Nea  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Almeida","sequence":"additional","affiliation":[{"name":"Plastic Surgery and Burns Department Hospital del Trabajador  Santiago Chile"},{"name":"Plastic Surgery Department Hospital Luis Vernaza  Guayaquil Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Roa","sequence":"additional","affiliation":[{"name":"Plastic Surgery and Burns Department Hospital del Trabajador  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00e1s","family":"Pereira","sequence":"additional","affiliation":[{"name":"Plastic Surgery and Burns Department Hospital del Trabajador  Santiago Chile"},{"name":"Cl\u00ednica Nea  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1713666"},{"issue":"3","key":"e_1_2_9_3_1","first-page":"177","article-title":"Una nueva alternativa para la localizaci\u00f3n y la recuperaci\u00f3n de agujas fracturadas durante la anestesia odontol\u00f3gica. Presentaci\u00f3n de t\u00e9cnica y caso cl\u00ednico","volume":"109","author":"Galli E.","year":"2021","journal-title":"Revista de la Asociaci\u00f3n Odontol\u00f3gica Argentina"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000373"},{"issue":"2","key":"e_1_2_9_5_1","first-page":"137","article-title":"Utilization of Three\u2010Dimensional Computer\u2010Aided Preoperative Virtual Planning and Manufacturing in Maxillary and Mandibular Reconstruction With a Microvascular Fibula Flap","volume":"32","author":"K\u00e4\u00e4ri\u00e4inen M.","year":"2016","journal-title":"Journal of Reconstructive Microsurgery"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-016-0055-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbm.a.36979"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26688"},{"key":"e_1_2_9_9_1","unstructured":"Moraes C.2020.\u201cOrtogOnBlender: Documenta\u00e7\u00e3o Oficial.\u201dBrazil: Sinop\/MT.http:\/\/www.ciceromoraes.com.br\/doc\/pt_br\/OrtogOnBlender\/index.html."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2018.12.023"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008690"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004126"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.4317\/jced.61278"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1651489"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1391384"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.10.056"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70236","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.70236","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:21:20Z","timestamp":1786987280000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/micr.70236"],"URL":"https:\/\/doi.org\/10.1002\/micr.70236","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2024-01-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70236"}}