{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:28:32Z","timestamp":1790256512130,"version":"4.1.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"vor","delay-in-days":365,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics & Traumatology: Surgery & Research"],"published-print":{"date-parts":[[2020,9]]},"DOI":"10.1016\/j.otsr.2020.03.021","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T18:04:35Z","timestamp":1591812275000},"page":"825-829","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":12,"title":["Soft tissue reconstruction in the leg by orthopedic surgeons: Practices at an African trauma center"],"prefix":"10.1016","volume":"106","author":[{"given":"Laurent","family":"Mathieu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lo\u00efc","family":"Potier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9","family":"Ndiaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Momar","family":"Sene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elimane","family":"Mbaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moussa","family":"Faye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coumba Diouf","family":"Niang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2020.03.021_bib0115","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/00006534-198107000-00015","article-title":"The management of open tibial fractures with associated soft-tissue loss. External pin fixation with early flap coverage","volume":"68","author":"Byrd","year":"1981","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0120","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1302\/0301-620X.83B1.0830062","article-title":"Treatment of open fractures of the shaft of the tibia","volume":"83","author":"Bhandari","year":"2001","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.otsr.2020.03.021_bib0125","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1177\/1534734606295030","article-title":"Is there evidence-based guidance for timing of soft tissue coverage of grade III B tibia fractures?","volume":"5","author":"Breugem","year":"2006","journal-title":"Int J Low Extrem Wounds"},{"key":"10.1016\/j.otsr.2020.03.021_bib0130","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1097\/BOT.0000000000000815","article-title":"Open tibia shaft fractures and soft-tissue coverage: the effects of management by an orthopaedic microsurgical team","volume":"31","author":"Vandenberg","year":"2017","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2020.03.021_bib0135","doi-asserted-by":"crossref","first-page":"2263","DOI":"10.1016\/j.injury.2015.08.027","article-title":"Single stage orthoplastic reconstruction of Gustilo-Anderson Grade III open tibial fractures greatly reduces infection rates","volume":"46","author":"Mathews","year":"2015","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2020.03.021_bib0140","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1016\/j.otsr.2017.03.032","article-title":"Temporary fixation of limbs and pelvis","volume":"104","author":"Rigal","year":"2018","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2020.03.021_bib0145","doi-asserted-by":"crossref","first-page":"462","DOI":"10.4103\/0019-5413.97265","article-title":"Soft tissue coverage in open fractures of tibia","volume":"46","author":"Kamath","year":"2012","journal-title":"Indian J Orthop"},{"key":"10.1016\/j.otsr.2020.03.021_bib0150","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.otsr.2014.06.017","article-title":"Management of neglected open extremity fractures in low-resource settings: Experience of the French Army Medical Service in Chad","volume":"100","author":"Mathieu","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"key":"10.1016\/j.otsr.2020.03.021_bib0155","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00068-008-8142-5","article-title":"How to cover soft-tissue defects after injuries to the leg in precarious conditions","volume":"35","author":"Marchaland","year":"2009","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0160","first-page":"35","article-title":"Could the orthopaedic surgeon deployed in austere setting perform flaps on the leg?","volume":"83","author":"Barbier","year":"2017","journal-title":"Acta Orthop Belg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0165","first-page":"230","article-title":"Type III open tibia fractures in low resources setting. Part 2: Soft-tissue coverage with simple, reliable and replicable pedicle flaps","volume":"28","author":"Mathieu","year":"2018","journal-title":"Med Sante Trop"},{"key":"10.1016\/j.otsr.2020.03.021_bib0170","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1097\/00005373-198408000-00009","article-title":"Problems in the management of type III (severe) open fractures: a new classification of type III open fractures","volume":"24","author":"Gustilo","year":"1984","journal-title":"J Trauma"},{"key":"10.1016\/j.otsr.2020.03.021_bib0175","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.injury.2003.11.014","article-title":"Disability can be avoided after open fractures in Africa\u2013results from Malawi","volume":"35","author":"Bach","year":"2004","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2020.03.021_bib0180","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1016\/j.bjps.2016.04.013","article-title":"A prospective randomized cost billing comparison of local fasciocutaneous perforator vs. free Gracilis flap reconstruction for lower limb in a developing economy","volume":"69","author":"Abdelrahman","year":"2016","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0185","doi-asserted-by":"crossref","first-page":"51","DOI":"10.11604\/pamj.2016.25.51.10612","article-title":"The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania","volume":"25","author":"Clelland","year":"2016","journal-title":"Pan Afr Med J"},{"key":"10.1016\/j.otsr.2020.03.021_bib0190","series-title":"M\u00e9decine tropicale","first-page":"1014","article-title":"Traumatologie en zone tropicale: implications pratiques","author":"Barth\u00e9l\u00e9my","year":"2012"},{"key":"10.1016\/j.otsr.2020.03.021_bib0195","first-page":"133","article-title":"Type III open tibia fractures in low resources setting. Part 1: strategy and principles of limb salvage","volume":"28","author":"Mathieu","year":"2018","journal-title":"Med Sante Trop"},{"key":"10.1016\/j.otsr.2020.03.021_bib0200","first-page":"306","article-title":"Chirurgie plastique en situation pr\u00e9caire: concept cinq F","volume":"49","author":"Knipper","year":"2004","journal-title":"Ann Chir Plast"},{"key":"10.1016\/j.otsr.2020.03.021_bib0205","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1055\/s-0028-1090604","article-title":"Maximizing the reliability and safety of the distally based sural artery flap","volume":"24","author":"Wong","year":"2008","journal-title":"J Reconstr Microsurg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0210","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1097\/PRS.0b013e3181a65a74","article-title":"Improving outcomes of the distally based hemisoleus flap: principles of angiosomes in flap design","volume":"123","author":"Schierle","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0215","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00006534-198801000-00014","article-title":"The lateral supra malleolar flap","volume":"81","author":"Masquelet","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.otsr.2020.03.021_bib0220","first-page":"267","article-title":"Severe leg trauma in a resource-poor environment: indications for amputation in emergencies","volume":"25","author":"Murison","year":"2015","journal-title":"Med Sante Trop"}],"container-title":["Orthopaedics & Traumatology: Surgery & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056820301626?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056820301626?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:44:02Z","timestamp":1761795842000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056820301626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["S1877056820301626"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2020.03.021","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Soft tissue reconstruction in the leg by orthopedic surgeons: Practices at an African trauma center","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2020.03.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Published by Elsevier Masson SAS.","name":"copyright","label":"Copyright"}]}}