{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T02:14:31Z","timestamp":1774059271264,"version":"3.50.1"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jprasurg.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.bjps.2025.11.011","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T14:16:44Z","timestamp":1763648204000},"page":"121-128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Algorithmic recipient vessel selection for vessel-depleted lower limbs"],"prefix":"10.1016","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8553-2329","authenticated-orcid":false,"given":"Alex","family":"Sorkin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2908-0318","authenticated-orcid":false,"given":"Chad","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Marcasciano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai Yuan","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Di Meglio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3897-812X","authenticated-orcid":false,"given":"Michela","family":"Schettino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hung","family":"Chi-Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.bjps.2025.11.011_bib1","article-title":"A comprehensive approach to lower extremity free-tissue transfer","volume":"5","author":"Pu","year":"2017","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.bjps.2025.11.011_bib2","doi-asserted-by":"crossref","first-page":"283","DOI":"10.4103\/0970-0358.101299","article-title":"Wound coverage considerations for defects of the lower third of the leg","volume":"45","author":"Bajantri","year":"2012","journal-title":"Indian J Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib3","doi-asserted-by":"crossref","first-page":"1924","DOI":"10.1056\/NEJMoa012604","article-title":"An analysis of outcomes of reconstruction or amputation after leg-threatening injuries","volume":"347","author":"Bosse","year":"2002","journal-title":"N Engl J Med"},{"key":"10.1016\/j.bjps.2025.11.011_bib4","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1097\/PRS.0b013e3181bcf156","article-title":"A cost-utility analysis of amputation versus salvage for Gustilo type IIIB and IIIC open tibial fractures","volume":"124","author":"Chung","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib5","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1097\/PRS.0b013e318205f461","article-title":"Free tissue transfers for limb salvage in patients with end-stage renal disease on dialysis","volume":"127","author":"Chien","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib6","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1002\/micr.30020","article-title":"Free flaps for reconstruction of soft tissue defects in lower extremity: a meta-analysis on microsurgical outcome and safety","volume":"36","author":"Xiong","year":"2016","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2025.11.011_bib7","doi-asserted-by":"crossref","first-page":"2266","DOI":"10.1097\/00006534-200005000-00062","article-title":"Why climb a ladder when you can take the elevator?","volume":"105","author":"Bennett","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib8","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/00006534-200109150-00036","article-title":"Lower extremity microsurgical reconstruction","volume":"108","author":"Heller","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib9","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/PRS.0000000000003927","article-title":"Muscle versus fasciocutaneous free flaps in lower extremity traumatic reconstruction: a multicenter outcomes analysis","volume":"141","author":"Cho","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib10","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1055\/s-0038-1641712","article-title":"Lower extremity limb salvage with cross leg pedicle flap, cross leg free flap, and cross leg vascular cable bridge flap","volume":"34","author":"Manrique","year":"2018","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib11","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1097\/00006534-199704000-00029","article-title":"A clinical study of end-to-end versus end-to-side techniques for microvascular anastomosis","volume":"99","author":"Samaha","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib12","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1055\/s-0035-1563397","article-title":"Microvascular anastomoses using end-to-end versus end-to-side technique in lower extremity free tissue transfer","volume":"32","author":"Cho","year":"2015","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib13","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/00006534-198167020-00009","article-title":"A comparative study of flap survival rates in end-to-end and end-to-side microvascular anastomosis","volume":"67","author":"Albertengo","year":"1981","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib14","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.cps.2021.01.006","article-title":"The optimal timing of traumatic lower extremity reconstruction: current consensus","volume":"48","author":"Lee","year":"2021","journal-title":"Clin Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib15","doi-asserted-by":"crossref","first-page":"7","DOI":"10.2106\/JBJS.H.00984","article-title":"The relationship between time to surgical debridement and incidence of infection after open high-energy lower extremity trauma","volume":"92","author":"Pollak","year":"2010","journal-title":"J Bone Jt Surg Am"},{"key":"10.1016\/j.bjps.2025.11.011_bib16","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1097\/00006534-199203000-00014","article-title":"Microvascular soft-tissue transplantation for reconstruction of acute open tibial fractures: timing of coverage and long-term functional results","volume":"89","author":"Francel","year":"1992","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1055\/s-0032-1306366","article-title":"Selection of recipient vessel in traumatic lower extremity","volume":"28","author":"Yazar","year":"2012","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib18","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1097\/00006534-199906000-00019","article-title":"Algorithm for recipient vessel selection in free tissue transfer to the lower extremity","volume":"103","author":"Park","year":"1999","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib19","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1055\/s-0040-1708835","article-title":"Importance of vascularity and selecting the recipient vessels of lower extremity reconstruction","volume":"37","author":"Hong","year":"2021","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib20","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1055\/s-0037-1621746","article-title":"Proximal versus distal recipient vessels in lower extremity reconstruction: a retrospective series and systematic review","volume":"34","author":"Stranix","year":"2018","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib21","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1002\/micr.1920150514","article-title":"Selection of recipient vessels for free flaps to the distal leg and foot following trauma","volume":"15","author":"Chen","year":"1994","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2025.11.011_bib22","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1097\/00006534-199108000-00019","article-title":"Preferential use of the posterior approach to blood vessels of the lower leg in microvascular surgery","volume":"88","author":"Godina","year":"1991","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib23","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1055\/s-2007-1006459","article-title":"Liability of recipient vessels distal to the zone of injury when used for extremity free flaps","volume":"12","author":"Hallock","year":"1996","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.bjps.2025.11.011_bib24","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/00000637-199603000-00007","article-title":"Zone of injury: a valid concept in microvascular reconstruction of the traumatized lower limb?","volume":"36","author":"Isenberg","year":"1996","journal-title":"Ann Plast Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib25","doi-asserted-by":"crossref","first-page":"881e","DOI":"10.1097\/PRS.0000000000006669","article-title":"Amending the algorithm for free perforator flap selection in lower extremity reconstruction","volume":"145","author":"Al Deek","year":"2020","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib26","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1097\/PRS.0000000000006167","article-title":"Algorithm for free perforator flap selection in lower extremity reconstruction based on 563 cases","volume":"144","author":"Abdelfattah","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib27","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1016\/j.bjps.2008.11.117","article-title":"Improving lower limb salvage following fractures with vascular injury: a systematic review and new management algorithm","volume":"62","author":"Glass","year":"2009","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib28","doi-asserted-by":"crossref","first-page":"238","DOI":"10.3109\/2000656X.2013.868810","article-title":"Lower extremity reconstruction after limb-sparing sarcoma resection of the proximal tibia in the pediatric population: case series, with algorithm","volume":"48","author":"Ver Halen","year":"2014","journal-title":"J Plast Surg Hand Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib29","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1097\/00006534-199704000-00022","article-title":"Fate of free flap microanastomosis distal to the zone of injury in lower extremity trauma","volume":"99","author":"Kolker","year":"1997","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib30","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/j.bjps.2016.02.017","article-title":"Success of free flap anastomoses performed within the zone of trauma in acute lower limb reconstruction","volume":"69","author":"Bendon","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib31","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1097\/01.prs.0000255175.92201.c7","article-title":"Free tissue transfer to the lower extremity distal to the zone of injury: indications and outcomes over a 25-year experience","volume":"120","author":"Spector","year":"2007","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bjps.2025.11.011_bib32","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/micr.30158","article-title":"Medial sural artery as a salvage recipient vessel for complex post traumatic microvascular lower limb reconstruction","volume":"38","author":"Baliarsing","year":"2018","journal-title":"Microsurgery"},{"key":"10.1016\/j.bjps.2025.11.011_bib33","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1097\/00006534-195203000-00001","article-title":"The cross-leg flap procedure","volume":"9","author":"Stark","year":"1952","journal-title":"Plast Reconstr Surg (1946)"},{"key":"10.1016\/j.bjps.2025.11.011_bib34","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1002\/micr.30827","article-title":"The triple conjoined scapular\u2013latissimus dorsi\u2013groin flap for reconstruction of long lower extremity degloving injury: a case report","volume":"42","author":"Amendola","year":"2022","journal-title":"Microsurgery"}],"container-title":["Journal of Plastic, Reconstructive & Aesthetic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006631?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1748681525006631?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:40:28Z","timestamp":1774057228000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1748681525006631"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":34,"alternative-id":["S1748681525006631"],"URL":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.011","relation":{},"ISSN":["1748-6815"],"issn-type":[{"value":"1748-6815","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Algorithmic recipient vessel selection for vessel-depleted lower limbs","name":"articletitle","label":"Article Title"},{"value":"Journal of Plastic, Reconstructive & Aesthetic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bjps.2025.11.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}