{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:40:04Z","timestamp":1773200404343,"version":"3.50.1"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T00:00:00Z","timestamp":1695340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Hefei Municipal Natural Science Foundation","award":["2021010"],"award-info":[{"award-number":["2021010"]}]},{"name":"Natural Science Foundation of Anhui Province Universities","award":["KJ2020A0182"],"award-info":[{"award-number":["KJ2020A0182"]}]},{"name":"Clinical Research Cultivation Project of the Second Affiliated Hospital of Anhui Medical University","award":["2020LCYB07"],"award-info":[{"award-number":["2020LCYB07"]}]},{"name":"Research Found of Anhui Institute of Translational Medicine","award":["2022zhyx-C55"],"award-info":[{"award-number":["2022zhyx-C55"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to evaluate the safety and efficacy of delayed reconstruction of the perforator pedicle propeller flap after the induced membrane technique in the treatment of Gustilo\n        IIIB open distal tibial fracture, and to evaluate the clinical outcome and complications of two different perforator pedicle propeller flaps.<\/jats:p><jats:p>Thirty-four patients with Gustilo IIIB open distal tibial fractures treated by the induced membrane technique and delayed reconstruction of two different perforator pedicle propeller flaps\n        from May 2017 to March 2022 were retrospectively analyzed. Patients were divided into two groups according to the different kinds of perforator pedicle propeller flaps covered. The operation\n        required two stages. The Radiographic Union Score for Tibial fractures (RUST) was used to evaluate the healing of the tibial bone defect. The American Orthopaedic Foot and Ankle Society\n        (AOFAS) score was used to evaluate ankle function. The complications associated with the technique were recorded.<\/jats:p><jats:p>The number of serial debridements, excluding those performed during emergency and final operations, was a mean of 2.28\u00a0\u00b1\u00a00.83 in the PAPF group. The PAPF group had a mean bone defect\n        length of 6.76 \u00b1 0.69 cm, the median healing time of 13.11 \u00b1 0.96 months, RUST score 12.68 \u00b1 1.63, and AOFAS score of 84.12 \u00b1 6.38. On the other hand the PTAPF group\u2019s mean bone defect length\n        was 6.73 \u00b1 0.95 cm, the median healing time 12.63 \u00b1 1.46 months, RUST score 13.73 \u00b1 1.53 and AOFAS score 82.79 \u00b1 5.49. There were no observed significant differences the two groups in the\n        number of serial debridements, bone defect length, bone union time, RUST score, or AOFAS score (p\u00a0&gt;\u00a00.05). Flap size ranged from 9\u00a0\u00d7\u00a06\u00a0cm2 to 14\u00a0\u00d7\u00a07\u00a0cm2 in the PAPF\n        group and from 9\u00a0\u00d7\u00a06\u00a0cm2 to 13\u00a0\u00d7\u00a07\u00a0cm2 in the PTAPF group. There were no severe complications such as flap-related complications or amputation. The differences in\n        complications in the two groups were not statistically significant.<\/jats:p><jats:p>In cases of severe open tibial fracture, the reconstructive method is important. When delayed reconstruction is inevitable, surgeons should first perform radical debridement, followed by\n        vacuum sealing drainage as a bridging therapy; both PAPF and PTAPF can be considered for definitive soft tissue coverage.<\/jats:p>","DOI":"10.1055\/a-2151-5175","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T22:58:51Z","timestamp":1695423531000},"page":"493-503","source":"Crossref","is-referenced-by-count":4,"title":["Delayed Reconstruction of the Perforator Pedicle Propeller Flap after the Induced Membrane Technique for Gustilo IIIB Open Distal Tibial Fracture"],"prefix":"10.1055","volume":"162","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0549-9368","authenticated-orcid":false,"given":"Shuming","family":"Ye","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics Surgery, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neng","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Surgery, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liqian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jisen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juehua","family":"Jing","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Surgery, Second Affiliated Hospital of Anhui Medical University, Hefei, China"},{"name":"Institute of Orthopaedics, Research Center for Translational Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,9,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1302\/0301-620x.80b2.7762","article-title":"Epidemiology of fractures in 15,000 adults: the influence of age and gender","volume":"80","author":"BR Singer","year":"1998","journal-title":"J Bone Joint Surg Br"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: A review","volume":"37","author":"CM Court-Brown","year":"2006","journal-title":"Injury"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.4055\/cios.2011.3.1.69","article-title":"Staged protocol in treatment of open distal tibia 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Treatment of posttraumatic bone defects by the induced membrane technique","volume":"98","author":"C Karger","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1097\/BOT.0000000000000338","article-title":"Treatment of Bone Loss With the Induced Membrane Technique: Techniques and Outcomes","volume":"29","author":"BC Taylor","year":"2015","journal-title":"J Orthop Trauma"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1002\/micr.22428","article-title":"Is delayed reconstruction using the latissimus dorsi free flap a worthy option in the management of open IIIB tibial fractures?","volume":"36","author":"KT Hwang","year":"2016","journal-title":"Microsurgery"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2151-5175.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:21:12Z","timestamp":1730823672000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2151-5175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,22]]},"references-count":35,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2024,9,25]]},"published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2151-5175","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,22]]}}}