{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T03:47:05Z","timestamp":1780544825977,"version":"3.54.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J reconstr Microsurg"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Lower extremity trauma with soft tissue loss presents a challenge to the reconstructive surgeon. Cross-leg flaps, first described by Hamilton in 1854, are still used to salvage traumatized lower extremities in patients not suitable for free tissue transfer, or those who are receiving care in locations with limited resources.<\/jats:p><jats:p>\n          Methods\u2003A scoping review methodology was used to examine the evidence supporting the use of cross-leg flaps in modern healthcare.<\/jats:p><jats:p>\n          Results\u2003There have been 409 cases of cross-leg flaps reported in the modern literature, with the majority of flap cases occurring outside the United States in Turkey, India, and Japan. The most common indication was trauma, mentioned in 93.2% of patients (n\u2009=\u2009353 of 379), and anatomic limitation, including inadequate vasculature, was the main reason for not performing free tissue transfer (52.8% of patients; n\u2009=\u2009170 of 322). The majority are cross-leg fasciocutaneous flaps (85.8%, n\u2009=\u2009273 of 318), based off the posterior tibial artery (27.5%, n\u2009=\u200950 of 182) and peroneal artery (26.9%, n\u2009=\u2009 49 of 182) and, covering defects of the distal third of the leg (55.5%, n\u2009=\u2009151 of 272), or the foot (27.9%, n\u2009=\u200976 of 272). The pedicles are typically divided at 3 weeks (mean 20.9 days) after external fixation is used as the immobilization method (57.7%, n\u2009=\u2009184 of 319). Flap survival was 100% across all publications except one (n\u2009=\u2009349 of 350 patients), making cross-leg flaps a robust and reliable reconstructive option.<\/jats:p><jats:p>\n          Conclusion\u2003In resource-limited environments or in patients who are unsuitable for microvascular free tissue transfer, the cross-leg flap remains an impactful and reliable option for limb salvage.<\/jats:p>","DOI":"10.1055\/s-0039-1679955","type":"journal-article","created":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T23:56:06Z","timestamp":1551830166000},"page":"505-515","source":"Crossref","is-referenced-by-count":22,"title":["Cross-Leg Flaps for Lower Extremity Salvage: A Scoping Review"],"prefix":"10.1055","volume":"35","author":[{"given":"Melody Scheefer","family":"Van Boerum","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wright","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"McFarland","sequence":"additional","affiliation":[{"name":"Eccles Health Sciences Library, University of Utah Health, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Fiander","sequence":"additional","affiliation":[{"name":"College of Pharmacy, University of Utah Health, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Pannucci","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of Utah Health, Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,3,5]]},"container-title":["Journal of Reconstructive Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1679955.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T23:16:21Z","timestamp":1565738181000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1679955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,5]]},"references-count":0,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2019,8,13]]},"published-print":{"date-parts":[[2019,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1679955","relation":{},"ISSN":["0743-684X","1098-8947"],"issn-type":[{"value":"0743-684X","type":"print"},{"value":"1098-8947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,5]]}}}