{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:58:41Z","timestamp":1790585921005,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    In degloving injuries without associated fracture, osteomyelitis may be difficult to recognize, potentially delaying definitive treatment. We report a case and describe the role of a chimeric superficial circumflex iliac artery perforator (SCIP) flap with a sartorius muscle component for simultaneous dead\u2010space obliteration and soft\u2010tissue resurfacing. A 44\u2010year\u2010old man underwent free anterolateral thigh flap coverage 1\u2009month after a medial ankle degloving injury. Two years later, a painless noninflammatory cystic lesion developed on the flap and recurred over 4\u2009years despite three local debridements. At 6\u2009years after injury, ultrasound, computed tomography, and magnetic resonance imaging demonstrated a sinus tract communicating with the navicular bone. Definitive debridement identified a retained anchor fragment within the navicular fistula and purulent tissue along the tract, resulting in a 4\u2009\u00d7\u200910\u2009cm soft\u2010tissue defect and an approximately 7\u2009\u00d7\u20098\u2009\u00d7\u200914\u2009mm intraosseous dead space. Single\u2010stage reconstruction was performed using a chimeric SCIP flap with a 12\u2009\u00d7\u20095\u2009cm skin paddle and a 6\u2009\u00d7\u20094.5\u2009cm sartorius muscle segment. The muscle component obliterated the navicular cavity, and the skin paddle resurfaced the medial ankle defect. Culture grew\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Pseudomonas aeruginosa<\/jats:italic>\n                    <\/jats:styled-content>\n                    , and targeted antibiotics were administered for 14\u2009weeks. Healing was uneventful. At 1\u2009year, the patient remained symptom\u2010free without recurrence. The erythrocyte sedimentation rate had returned to the normal range, and MRI showed resolution of navicular marrow edema. This case highlights the importance of thorough imaging in recurrent wound problems after degloving injury, even when the initial injury appears limited to the skin and soft tissue. A chimeric SCIP flap with a sartorius muscle component may be a useful single\u2010stage option for osteomyelitis treatment requiring dead\u2010space obliteration and thin soft\u2010tissue coverage.\n                  <\/jats:p>","DOI":"10.1002\/micr.70277","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:50:31Z","timestamp":1785822631000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Chimeric\n                    <scp>SCIP<\/scp>\n                    Flap With a Sartorius Muscle Component for Single\u2010Stage Reconstruction of Late\u2010Onset Navicular Osteomyelitis Following Degloving Injury: A Case Report"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1276-4879","authenticated-orcid":false,"given":"Shigeki","family":"Ishibashi","sequence":"first","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"},{"name":"Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toko","family":"Umamoto","sequence":"additional","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Kanasaki","sequence":"additional","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0878-8624","authenticated-orcid":false,"given":"Reiko","family":"Tsukuura","sequence":"additional","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nana","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7016-1335","authenticated-orcid":false,"given":"Takumi","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Supermicrosurgery National Center for Global Health and Medicine  Tokyo Japan"},{"name":"Department of Reconstructive Microsurgery Tokyo\u2010Kita Medical Center  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/a\u20102717\u20104713"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199108000-00023"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199907000-00016"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000951"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000162733.72969.D5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003460"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jham.2025.100296"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.000017"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182001f0f"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000239579.37760.92"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2016.06.010"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005282"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22518"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00281-011-0275-7"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70277","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/micr.70277","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.70277","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:33:57Z","timestamp":1790584437000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.70277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,3]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/micr.70277"],"URL":"https:\/\/doi.org\/10.1002\/micr.70277","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,3]]},"assertion":[{"value":"2026-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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