{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:22:45Z","timestamp":1790770965331,"version":"4.1.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T00:00:00Z","timestamp":1665964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Vascular injury following traumatic knee injury quoted in the literature ranges from 3.3 to 65%, depending on the magnitude and pattern of the injury. Timely recognition is crucial to ensure the revascularization is done within 6 to 8\u2009hours from the time of injury to avoid significant morbidity, amputation, and medicolegal ramifications. We present a case of an ischemic limb following delayed diagnosis of popliteal artery injury after knee dislocation. Even though we have successfully repaired the popliteal artery, the evolving ischemia over the distal limb poses a reconstruction challenge. Multiple surgical debridement procedures were performed to control the local tissue infection. Free tissue transfer with chimeric latissimus dorsi flap was done to resurface the defect. However, the forefoot became gangrenous despite a free muscle flap transfer. His limb appeared destined for amputation in the vicinity of tissue and recipient vessels, but we chose to use a cross-leg free flap as an option for limb salvage.<\/jats:p>","DOI":"10.1055\/a-1962-6009","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T23:17:40Z","timestamp":1666048660000},"page":"188-193","source":"Crossref","is-referenced-by-count":4,"title":["Cross-Leg Free Flap: Crossing the Border Zone of Ischemic Limb\u2014A Case Report of Limb Salvage Procedure following a Delayed Diagnosis of Popliteal Artery Injury"],"prefix":"10.1055","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6282-7466","authenticated-orcid":false,"given":"Hui Yuan","family":"Lam","sequence":"additional","affiliation":[{"name":"Hospital Universiti Sains Malaysia, Medical Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Medical Campus. Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0600-9765","authenticated-orcid":false,"given":"Wan Azman Wan","family":"Sulaiman","sequence":"additional","affiliation":[{"name":"Hospital Universiti Sains Malaysia, Medical Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Medical Campus. Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4469-3243","authenticated-orcid":false,"given":"Wan Faisham Wan","family":"Ismail","sequence":"additional","affiliation":[{"name":"Hospital Universiti Sains Malaysia, Medical Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"Orthopaedic Oncology and Reconstructive Unit (OORU), School of Medical Sciences, Medical Campus. Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-6403","authenticated-orcid":false,"given":"Ahmad Sukari","family":"Halim","sequence":"additional","affiliation":[{"name":"Hospital Universiti Sains Malaysia, Medical Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"},{"name":"Reconstructive Sciences Unit, School of Medical Sciences, Medical Campus. Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1302\/0301-620X.67B3.3997952","article-title":"Popliteal artery damage in closed injuries of the knee","volume":"67","author":"J A Chapman","year":"1985","journal-title":"J Bone Joint Surg Br"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/00000658-197009000-00005","article-title":"Civilian vascular injuries: a critical appraisal of three decades of management","volume":"172","author":"T Drapanas","year":"1970","journal-title":"Ann Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jemermed.2008.08.029","article-title":"Vascular injury after occult knee dislocation presenting as compartment syndrome","volume":"42","author":"H L Steele","year":"2012","journal-title":"J Emerg Med"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"236","DOI":"10.2106\/00004623-197759020-00017","article-title":"Vascular injuries associated with dislocation of the knee","volume":"59","author":"N E Green","year":"1977","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1002\/micr.30335","article-title":"Lower-limb reconstruction with chimeric flaps: the quad flap","volume":"39","author":"S M Azouz","year":"2019","journal-title":"Microsurgery"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"e0121769","DOI":"10.1371\/journal.pone.0121769","article-title":"The management of lower extremity multilevel arterial injuries: a 10-year experience","volume":"10","author":"H Yan","year":"2015","journal-title":"PLoS One"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1002\/bjs.9689","article-title":"Meta-analysis of prognostic factors for amputation following surgical repair of lower extremity vascular trauma","volume":"102","author":"Z B Perkins","year":"2015","journal-title":"Br J Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"e30469","DOI":"10.5812\/traumamon.30469","article-title":"Assessment of vascular injuries and reconstruction","volume":"20","author":"I Baghi","year":"2015","journal-title":"Trauma Mon"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1177\/021849230801600307","article-title":"Management of extremity vascular trauma: Jammu experience","volume":"16","author":"A Kohli","year":"2008","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1016\/j.injury.2007.05.001","article-title":"Revascularisation later than 24\u2009h after popliteal artery trauma: is it worthwhile?","volume":"38","author":"M Moini","year":"2007","journal-title":"Injury"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/00006534-197964050-00001","article-title":"Superiority of the deep circumflex iliac vessels as the supply for free groin flaps","volume":"64","author":"G I Taylor","year":"1979","journal-title":"Plast Reconstr Surg"},{"issue":"07","key":"ref12","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":"O J Manrique","year":"2018","journal-title":"J Reconstr Microsurg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1962-6009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T23:45:16Z","timestamp":1680047116000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1962-6009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,17]]},"references-count":12,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,3,28]]},"published-print":{"date-parts":[[2023,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1962-6009","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,10,17]]},"published":{"date-parts":[[2022,10,17]]}}}