{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:01:22Z","timestamp":1791396082462,"version":"4.3.3"},"reference-count":23,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>High-voltage electrical burns carry high amputation rates, and reconstruction of the resulting pelvic or proximal thigh defect is difficult, as donor sites are often burned and free tissue transfer is poorly tolerated in these critically ill patients. Fillet flaps are established for oncological and traumatic amputations, but a donor limb directly exposed to high-voltage current has never been described.We report a 25-yearold man who underwent transfemoral amputation after a high-voltage burn with septic knee arthritis and iliac crest necrosis. A pedicled total-leg fillet flap, preserving the entire leg vascular triad, was harvested from the amputated limb to cover the femoral stump and pelvic defect. Partial distal necrosis occurred at 48 hours and was managed by delayed debridement, and the course was complicated by invasive mucormycosis, treated before definitive skin grafting. At 12 months, the patient ambulated independently with a transfemoral prosthesis.This case shows that the pedicled total-leg fillet flap can provide tissue-sparing salvage coverage of extensive proximal defects in burned patients unfit for microsurgery, while underscoring the unpredictable distal vascularization of flaps taken from an electrically injured limb.<\/jats:p>","DOI":"10.1093\/jbcr\/irag168","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:06:40Z","timestamp":1789736800000},"source":"Crossref","is-referenced-by-count":0,"title":["Pedicled Total-Leg Fillet Flap for Salvage Coverage of a Combined Pelvic and Proximal Femoral Defect After High-Voltage Electrical Burn: Technical Considerations, Limitations and Focused Review"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7207-919X","authenticated-orcid":false,"given":"Etienne","family":"Le Joly","sequence":"first","affiliation":[{"name":"Department of plastic and reconstructive surgery, Toulouse University Hospital , 31400 Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2260-6690","authenticated-orcid":false,"given":"Valentin","family":"David","sequence":"additional","affiliation":[{"name":"Department of plastic and reconstructive surgery, Toulouse University Hospital , 31400 Toulouse ,","place":["France"]},{"name":"Department of Maxillo-facial, plastic and reconstructive surgery, Limoges university hospital , 87000 Limoges ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Pichon","sequence":"additional","affiliation":[{"name":"Department of plastic and reconstructive surgery, Toulouse University Hospital , 31400 Toulouse ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Chaput","sequence":"additional","affiliation":[{"name":"Department of plastic and 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