{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:15:07Z","timestamp":1783480507054,"version":"3.55.0"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Vascularized reconstruction of bone defects in the foot after osteomyelitis is a complex procedure that requires an orthoplastic collaboration. This case demonstrates the successful use of a free osteocutaneous fibula flap with a perforator-based skin island to reconstruct the medial midfoot following a late-onset infection after fusion for osteonecrosis. A 63-year-old woman presented after osteonecrosis and failed surgeries, including talonavicular and naviculocuneiform arthrodesis complicated by infection. Given the patient\u2019s smoking and infection history, revision using avascular bone grafts was not an option. A vascularized fibula graft and a perforator-based skin island were used to reconstruct the medial column and the soft tissue. The patient was free of pain and had full ankle mobility at 12\u00a0months. Reconstructing large postosteomyelitic foot defects is challenging. Vascularized bone and soft tissue flaps are essential to ensure healing and stability. Proper risk stratification and backup surgical strategies are critical for high-risk patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf715","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T11:52:56Z","timestamp":1755777176000},"source":"Crossref","is-referenced-by-count":1,"title":["Orthoplastic tarsal reconstruction using a chimeric vascularized bone graft in a heavy smoker: a case report"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3278-356X","authenticated-orcid":false,"given":"Primoz","family":"Potocnik","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital St Gallen , Rorschacherstrasse 95, 9007 St Gallen ,","place":["Switzerland"]},{"name":"Private University of the Principality of Liechtenstein , Dorfstrasse 24, 9495 Triesen ,","place":["Liechtenstein"]},{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital Graub\u00fcnden , Lo\u00ebstrasse 170, 7000 Chur ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Lotter","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, HOCH, Kantonsspital St Gallen , Rorschacherstrasse 95, 9007 St Gallen ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Toepfer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery and Traumatology, Kantonsspital St Gallen , Rorschacherstrasse 95, 9007 St Gallen ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker J","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, HOCH, Kantonsspital St Gallen , Rorschacherstrasse 95, 9007 St Gallen ,","place":["Switzerland"]},{"name":"Faculty of Medicine, University of Basel , Basel ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"2025090505164634800_ref1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/0309364614546526","article-title":"Quality of life in persons with partial foot or transtibial amputation: a systematic review","volume":"40","author":"Quigley","year":"2016","journal-title":"Prosthet Orthot Int"},{"key":"2025090505164634800_ref2","doi-asserted-by":"publisher","first-page":"e15","DOI":"10.1016\/j.anplas.2014.09.011","article-title":"Smoking and plastic surgery, part II. Clinical implications: a systematic review with meta-analysis","volume":"60","author":"Pluvy","year":"2015","journal-title":"Ann Chir Plast Esth\u00e9t"},{"key":"2025090505164634800_ref3","doi-asserted-by":"publisher","first-page":"e79","DOI":"10.1016\/j.bjoms.2020.07.020","article-title":"The impact of smoking on surgical complications after head and neck reconstructive surgery with a free vascularised tissue flap: a systematic review and meta-analysis","volume":"59","author":"Garip","year":"2021","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2025090505164634800_ref4","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1016\/j.jpra.2023.03.002","article-title":"Strategies following free flap failure in lower extremity trauma: a systematic review","volume":"36","author":"Koster","year":"2023","journal-title":"JPRAS Open"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf715\/64213411\/rjaf715.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/9\/rjaf715\/64213411\/rjaf715.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T09:16:56Z","timestamp":1757063816000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf715\/8248290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf715","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,9]]},"published":{"date-parts":[[2025,9,1]]},"article-number":"rjaf715"}}