{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:32:00Z","timestamp":1767166320101,"version":"build-2238731810"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T00:00:00Z","timestamp":1647561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    In this study, we intend to explore the clinical efficacy of abdominal expander implantation combined with flap technique in adult chronic osteomyelitis of lower limb with soft tissue defects, and to provide the basis for the promotion of the technique in clinical practice. Four patients diagnosed with chronic osteomyelitis of lower extremity with soft tissue defect were enrolled in this prospective study. Evaluation indicators included state of flap survival, state of abdominal incision, surrounding of abdominal wound scar, satisfaction of the patient, state of flap survival half a year after surgery, whether the 3D prosthesis is successfully implanted and limb movement. Four patients had complete flap survival, two of whom had a small amount of skin graft survival disorder in the vascular pedicle area, which improved after 1\u2009month of dressing change. The expander had an average expansion time of 31.5\u2009days, an average water injection of 525\u2009mL, and an average skin volume taken of 159\u2009cm\n                    <jats:sup>2<\/jats:sup>\n                    . No incision exudation, incision dehiscence, subcutaneous exudate and other complications occurred. The mean Vancouver Scar Scale score at 3 months after surgery was 3.5 (range from 3 to 6) points. Four patients showed good flap survival at six\u2010month follow\u2010up. 3D printed prosthesis were all successfully implanted. The treatment of adult chronic osteomyelitis of lower extremities with lower abdominal implantable expander combined with flap technique can effectively increase the skin harvesting area, reduce the suture tension of abdominal skin harvesting area and the scar hyperplasia of abdominal skin harvesting area.\n                  <\/jats:p>","DOI":"10.1111\/iwj.13798","type":"journal-article","created":{"date-parts":[[2022,3,18]],"date-time":"2022-03-18T05:44:09Z","timestamp":1647582249000},"page":"1980-1989","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["RETRACTED: Four cases of abdominal expander implantation in adult chronic osteomyelitis of lower extremity with soft tissue defect and literature review"],"prefix":"10.1111","volume":"19","author":[{"given":"Xinling","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujie","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guanhuier","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengbing","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7810-2395","authenticated-orcid":false,"given":"Xin","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9483-6308","authenticated-orcid":false,"given":"Zhenmin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Peking University Third Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,18]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00934149"},{"issue":"1","key":"e_1_2_13_3_1","article-title":"Current data on extremities chronic osteomyelitis in Southwest China: epidemiology, microbiology and therapeutic consequences","volume":"7","author":"Wang X","year":"2017","journal-title":"Sci Rep"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00984"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2016.12.001"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002793"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1372468"},{"issue":"5","key":"e_1_2_13_8_1","first-page":"305","article-title":"Ilizarov technique in combination with gastrocnemius nerve or saphenous neurovascular flap for treatment of soft tissue defects in foot and ankle with posttraumatic horseshoe foot deformity","volume":"39","author":"Shuang W","year":"2019","journal-title":"Chin J Ortho"},{"issue":"3","key":"e_1_2_13_9_1","first-page":"218","article-title":"Repair of complex soft tissue defects of extremities with thinned lobulated anterolateral thigh perforating branch flap","volume":"42","author":"Yong M","year":"2019","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"},{"issue":"2","key":"e_1_2_13_10_1","first-page":"141","article-title":"Repair of foot and ankle soft tissue defects with externally pressurized peroneal artery penetrating propeller flap","volume":"42","author":"Zheng J","year":"2019","journal-title":"J Int med Res"},{"issue":"2","key":"e_1_2_13_11_1","first-page":"125","article-title":"Clinical application of sensory reconstruction of posterior tibial artery perforator flap with saphenous nerve branch","volume":"42","author":"Luyuan S","year":"2019","journal-title":"Chin J Microsurg"},{"issue":"5","key":"e_1_2_13_12_1","first-page":"84","article-title":"Free transplantation of ilioinguinal flap for repairing soft tissue defect of upper and lower limbs","volume":"21","author":"Qiu Hui W","year":"2018","journal-title":"J Clin Orthopaed"},{"key":"e_1_2_13_13_1","unstructured":"JingminZ ChuangongC&YalinSet al. 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