{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:40:41Z","timestamp":1773200441761,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,2,25]],"date-time":"2014-02-25T00:00:00Z","timestamp":1393286400000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2014,2]]},"abstract":"Objective<\/jats:title>To investigate the efficiency of perforator pedicled propeller flaps for soft tissue coverage of lower leg and foot defects.<\/jats:p><\/jats:sec>Methods<\/jats:title>Twenty patients (12 male, 8 females; mean age 28 years, range, 5\u201375) with soft tissue defects of the lower leg and foot were retrospectively reviewed. Their defects had been repaired with perforator pedicled propeller flaps from S<\/jats:styled-content>eptember 2011 to October 2013 and included five cases of injuries caused by spokes, four of infection with postoperative skin necrosis, two of dorsal skin defects caused by heavy objects and nine caused by car accidents. The areas of soft tissue defect were from 2\u2009cm \u00d7 8\u2009cm to 10\u2009cm \u00d7 20\u2009cm. Fifteen cases had terminal branch of the peroneal artery perforator flaps and five posterior tibia artery perforator flaps, flap size ranging from 5\u2009cm \u00d7 11\u2009cm to 12\u2009cm \u00d7 28\u2009cm. Color D<\/jats:styled-content>oppler ultrasound was used to locate all perforator vessels, the calibers of which ranged from 0.8\u2009mm to 1.0\u2009mm.<\/jats:p><\/jats:sec>Results<\/jats:title>The intraoperative coincidence rate of the color D<\/jats:styled-content>oppler ultrasound was 96.7%. The donor sites were sutured directly in 12 cases and skin grafted in 8. One case had a venous crisis within 24\u2009h that was treated by removal some sutures and drainage. All cases were followed up for 1\u201318 months; all flaps survived well and pedicles had a satisfactory appearance. The patients were extremely satisfied with the results for repair.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Perforator pedicled propeller flaps have the advantages over other pedicle flap of being simple, safe, and effective and not involving vascular anastomosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12081","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T04:22:48Z","timestamp":1393388568000},"page":"42-46","source":"Crossref","is-referenced-by-count":13,"title":["Perforator Pedicled Propeller Flaps for Soft Tissue Coverage of Lower Leg and Foot Defects"],"prefix":"10.1111","volume":"6","author":[{"given":"Kai\u2010xuan","family":"Dong","sequence":"first","affiliation":[{"name":"Department of Graduate Education Kunming Medical University Kunming China"},{"name":"Affiliated Orthopaedic Hospital Kunming General Hospital of Chengdu Military Command Orthopaedic Trauma Institute of Chinese PLA Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong\u2010qing","family":"Xu","sequence":"additional","affiliation":[{"name":"Affiliated Orthopaedic Hospital Kunming General Hospital of Chengdu Military Command Orthopaedic Trauma Institute of Chinese PLA Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin\u2010yu","family":"Fan","sequence":"additional","affiliation":[{"name":"Affiliated Orthopaedic Hospital Kunming General Hospital of Chengdu Military Command Orthopaedic Trauma Institute of Chinese PLA Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Long\u2010jiang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Kunming General Hospital of Chengdu Military Command Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xi\u2010xiong","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Kunming General Hospital of Chengdu Military Command Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hai","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Kunming General Hospital of Chengdu Military Command Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010qi","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Kunming General Hospital of Chengdu Military Command Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010qing","family":"He","sequence":"additional","affiliation":[{"name":"Affiliated Orthopaedic Hospital Kunming General Hospital of Chengdu Military Command Orthopaedic Trauma Institute of Chinese PLA Kunming China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,25]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"396","article-title":"The anatomy and 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