{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T14:44:12Z","timestamp":1766760252414,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,5,16]],"date-time":"2017-05-16T00:00:00Z","timestamp":1494892800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The defects over the leg, foot and ankle are best covered with a thin pliable flap. The use of muscle flap for the reconstruction of these defects leaves a grafted, aesthetically inferior result. The medial sural artery perforator (<jats:styled-content style=\"fixed-case\">MSAP<\/jats:styled-content>) free flap gives a thin pliable tissue for the reconstruction with better aesthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study design was retrospective case analysis over a period of 2 years. All the patients who underwent flap for leg, foot and ankle defect reconstruction in the form of <jats:styled-content style=\"fixed-case\">MSAP<\/jats:styled-content> free flap were included in the study. The flap characteristics and aesthesis were assessed along with the patient satisfaction. The flap complication and donor site morbidity were also analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of seven <jats:styled-content style=\"fixed-case\">MSAP<\/jats:styled-content> free flaps were done for leg, foot and ankle reconstruction. The mean flap size was 14.29 \u00d7 6.6 cm and mean pedicle length was 9.71 cm. One flap had venous congestion post\u2010operatively resulting in marginal flap loss. All the flaps had acceptable aesthesis with good patient satisfaction. There was donor site morbidity in two patients, in the form of wound dehiscence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">MSAP<\/jats:styled-content> free flap is a reliable choice for leg, foot and ankle defect reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.14050","type":"journal-article","created":{"date-parts":[[2017,5,17]],"date-time":"2017-05-17T00:58:51Z","timestamp":1494982731000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Medial sural artery perforator free flap for the reconstruction of leg, foot and ankle defect: an excellent option"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6400-8384","authenticated-orcid":false,"given":"Jyoshid R.","family":"Balan","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Sushrutha Institute of Plastic Reconstructive and Aesthetic Surgery, Elite Mission Hospital  Thrissur India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200111000-00027"},{"key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1055\/s-0034-1395888","article-title":"Reconstruction of foot and ankle defects with a free anterolateral thigh flap in pediatric patients","volume":"31","author":"Acar MA","year":"2015","journal-title":"J. Reconstr. Microsurg."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2015.07.014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22177"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2016.00015"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318276d127"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1253244"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2012.39.2.94"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2015.42.5.619"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182729e9e"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.4103\/0970-0358.101299","article-title":"Wound coverage considerations for defects of the lower third of the leg","volume":"45","author":"Bajantri B","year":"2012","journal-title":"Indian J. Plast. Surg."},{"key":"e_1_2_7_13_1","doi-asserted-by":"crossref","first-page":"153","DOI":"10.4103\/0970-0358.163051","article-title":"Thoracodorsal artery perforator flap: indeed a versatile flap","volume":"48","author":"Jain L","year":"2015","journal-title":"Indian J. Plast. Surg."},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"e487","DOI":"10.1097\/GOX.0000000000000432","article-title":"Profunda femoris artery perforator propeller flap: a valid method to cover complicated ischiatic pressure sores","volume":"3","author":"Scalise A","year":"2015","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"e_1_2_7_15_1","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1016\/j.bjps.2013.12.038","article-title":"Free medial plantar artery flap for the reconstruction of great toe pulp","volume":"67","author":"Jyoshid RB","year":"2014","journal-title":"J. Plast. Reconstr. Aesthet. Surg."},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000723"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2008.05.020"},{"key":"e_1_2_7_18_1","first-page":"40","article-title":"Skin flaps of medial gastrocnemius muscles\u2019 perforating arteries: an anatomical study","volume":"15","author":"Torres LR","year":"2007","journal-title":"Acta Ortop. Bras."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000141376.15470.9b"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181835abf"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000207077.19601.86"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182729e3c"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318157a1a0"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181d180ac"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198609000-00001"},{"key":"e_1_2_7_26_1","first-page":"187","article-title":"Medial sural artery perforator free flap: legitimate use as a solution for the ipsilateral distal lower extremity defect","volume":"30","author":"Hallock GG","year":"2014","journal-title":"J. Reconstr. Microsurg."},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181b457cf"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.14050","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.14050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T11:27:42Z","timestamp":1695554862000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.14050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,16]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/ans.14050"],"URL":"https:\/\/doi.org\/10.1111\/ans.14050","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"type":"print","value":"1445-1433"},{"type":"electronic","value":"1445-2197"}],"subject":[],"published":{"date-parts":[[2017,5,16]]},"assertion":[{"value":"2016-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-03-15","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-05-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}