{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:15:22Z","timestamp":1783480522426,"version":"3.55.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"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":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Complex defects resulting from infected bone or joints with or without osteosynthesis or prosthetic material lead to significant challenges that need to be addressed through orthoplastic approaches. Foot and ankle reconstruction is particularly difficult due to the lack of local or regional flap solutions in this highly mobile joint, which often necessitates microsurgical flaps in extended defects. In addition, rigorous bone reconstruction is critical to acute bone infection to minimize the risks of functional impairments. We present a novel approach using a chimeric osteocutaneous flap to address a complex calcaneus fracture with extended postoperative skin necrosis and septic pseudoarthrosis. A dual skin paddle (16\u2009\u00d7\u20096.5\u2009cm and 14\u2009\u00d7\u20094.5\u2009cm) was created using a superficial inferior epigastric artery (SIEA)-to-superficial circumflex iliac artery (SCIA) anastomosis, while the 7-cm pedicle was increased using a deep inferior epigastric artery graft, which was anastomosed to the tibial anterior vessels. The vascularized iliac crest component enabled optimal reconstruction of the bone defect with rapid healing, while the combined SCIP (superficial circumflex iliac artery perforator)\u2013SIEA skin flap was used to cover the bone reconstruction and skin defect. This microsurgical reconstruction allowed optimal functional recovery at 12 months with successful bone integration and soft tissue coverage. The step-by-step intraoperative technique is described through Video 1 and Supplementary Video 2.<\/jats:p>","DOI":"10.1055\/a-2635-2680","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T19:08:17Z","timestamp":1750100897000},"page":"310-316","source":"Crossref","is-referenced-by-count":2,"title":["Reconstruction of a Complex Foot Defect with a Chimeric Triple-Component Osteocutaneous SCIP\u2013SIEA Free Flap: A Case Report and Literature Review"],"prefix":"10.1055","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4190-5132","authenticated-orcid":false,"given":"Yanis","family":"Berkane","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Centre Hospitalier Universitaire de Rennes, University of Rennes, Rennes, France"},{"name":"SITI Laboratory, UMR1236, Etablissement Fran\u00e7ais du Sang, University of Rennes, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9414-0861","authenticated-orcid":false,"given":"Elise","family":"Lupon","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Institut Universitaire Locomoteur et du Sport, Pasteur 2 Hospital, University C\u00f4te d'Azur, Nice, France"},{"name":"Laboratory of Molecular PhysioMedicine (LP2M), UMR 7370, CNRS, University C\u00f4te d'Azur, Nice, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7112-2747","authenticated-orcid":false,"given":"Pierre","family":"Muret","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Centre Hospitalier Universitaire Lapeyronie, University of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4363-6688","authenticated-orcid":false,"given":"J\u00e9r\u00f4me","family":"Laloze","sequence":"additional","affiliation":[{"name":"Department of Maxillo-Facial, Plastic and Reconstructive Surgery, Dupuytren University Hospital, Limoges, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4602-0432","authenticated-orcid":false,"given":"Nicolas","family":"Bertheuil","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Centre Hospitalier Universitaire de Rennes, University of Rennes, Rennes, France"},{"name":"SITI Laboratory, UMR1236, Etablissement Fran\u00e7ais du Sang, University of Rennes, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4361-8216","authenticated-orcid":false,"given":"Christian","family":"Herlin","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive Surgery and Burns, Centre Hospitalier Universitaire Lapeyronie, University of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8796-5953","authenticated-orcid":false,"given":"Paul","family":"Girard","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Centre Hospitalier Universitaire de Rennes, University of Rennes, Rennes, France"},{"name":"SITI Laboratory, UMR1236, Etablissement Fran\u00e7ais du Sang, University of Rennes, Rennes, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5724-3034","authenticated-orcid":false,"given":"Hadrien","family":"Paoli","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive Surgery and Burns, Centre Hospitalier Universitaire Lapeyronie, University of Montpellier, Montpellier, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,9,1]]},"reference":[{"issue":"12","key":"ref1","doi-asserted-by":"crossref","first-page":"3393","DOI":"10.1016\/j.arthro.2021.10.002","article-title":"Surgical treatment for osteochondral lesions of the talus","volume":"37","author":"R T Powers","year":"2021","journal-title":"Arthroscopy"},{"issue":"09","key":"ref3","first-page":"694","article-title":"Options for soft tissue reconstruction in pseudarthrosis [In German]","volume":"123","author":"T Cordts","year":"2020","journal-title":"Unfallchirurg"},{"issue":"05","key":"ref4","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":"U Abdelfattah","year":"2019","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.cps.2020.12.005","article-title":"The superficial circumflex iliac artery perforator flap in lower extremity reconstruction","volume":"48","author":"J P Hong","year":"2021","journal-title":"Clin Plast Surg"},{"key":"ref6","first-page":"148","article-title":"Multifarious uses of the pedicled SCIP flap - a case series","volume":"64","year":"2023","journal-title":"Acta Chir Plast"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/0970-0358.63941","article-title":"Considerations in the 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piggyback superficial circumflex iliac perforator flap for complex free flap reconstructions","volume":"12","author":"H Yoshimatsu","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"03","key":"ref25","doi-asserted-by":"crossref","first-page":"361e","DOI":"10.1097\/PRS.0000000000004699","article-title":"Discussion: Pure skin perforator flaps: The anatomical vascularity of the superthin flap","volume":"142","author":"J P Hong","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref26","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1055\/s-0042-1750127","article-title":"Planes for perforator\/skin flap elevation-definition, classification, and techniques","volume":"39","author":"J G Kwon","year":"2023","journal-title":"J Reconstr Microsurg"}],"container-title":["Archives of Plastic 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