{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:57:04Z","timestamp":1766401024616,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T00:00:00Z","timestamp":1729036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The failure rate of foot and ankle soft tissue defect reconstruction with flap is relatively high, often posing a significant burden on patients. The aim of this study is to explore the effectiveness of repeated stretch sutures in repairing skin and soft tissue defects of the ankle and foot.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010three patients with ankle and foot skin and soft tissue defects were retrospectively analyzed between February 2016 and February 2019. Sutures were repeatedly stretched every 3\u20135\u2009days. Local skin grafting was performed if necessary after wound surfaces disappeared or exposed tendons and bones were covered by soft tissue. Wound healing time, postoperative healing area, Vancouver Scar Assessment Scale, sensation, and function of the new skin were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Healing time was 17\u201335 (24.43\u2009\u00b1\u20095.29) days. Ten patients wholly healed, and 13 healed by approximately 70.08%\u2009\u00b1\u20096.59%. The Vancouver Scar Assessment Scale average score was 2.83\u2009\u00b1\u20091.19 points, of which 15 cases were excellent (0\u20133 points) and 8 cases were good (4\u20137 points). The sensation and function of the new skin after repair were equivalent to those of normal skin after the last follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Applying repeated tension sutures on the skin and soft defects of the ankle and foot reduced the skin graft area and decreased complex high\u2010risk surgical flaps' use and transplantation area.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14265","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T02:20:42Z","timestamp":1729131642000},"page":"3179-3184","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Application of Modified Skin Stretching for Soft Tissue Defect Reconstruction in the Ankle and Foot: A Retrospective Report"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3899-2086","authenticated-orcid":false,"given":"Xiaqing","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"},{"name":"Hubei Clinical Medical Research Center of Trauma Microsurgery  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"},{"name":"Department of Anesthesiology Sichuan University West China Second University Hospital  Chengdu Sichuan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weixing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2849-1887","authenticated-orcid":false,"given":"Wang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Changhuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7592-7789","authenticated-orcid":false,"given":"Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Trauma and Microsurgery Zhongnan Hospital of Wuhan University  Wuhan China"},{"name":"Hubei Clinical Medical Research Center of Trauma Microsurgery  Wuhan China"},{"name":"Department of Orthopaedic Badong People's Hospital  Enshi China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060516687229"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/burnst\/tkac045"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22177"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13046"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irz078"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0036-1593479"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12081"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12623"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-017-0478-y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2017.4539"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880130410"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30000"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000009739"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colsurfb.2016.12.016"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12095"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-020-2555-7"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jid.2021.11.043"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181a81542"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000010808"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000009215"},{"issue":"9","key":"e_1_2_9_22_1","first-page":"806","article-title":"Clinical Effects of Expanded Frontal Flap and Flip Scar Flap in Repairing Partial Nasal Defect","volume":"39","author":"Chu F. F.","year":"2023","journal-title":"Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13798"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.09.002"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0141989"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.2147\/CCID.S411870"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000022144"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199705000-00019"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(87)90151-2"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199808000-00012"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000105339.41838.D2"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199308000-00010"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.4142\/jvs.2015.16.1.99"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004630-199509000-00013"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actbio.2019.02.003"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182221372"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000079824.26088.A5"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.14265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T03:33:50Z","timestamp":1744428830000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.14265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,16]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/os.14265"],"URL":"https:\/\/doi.org\/10.1111\/os.14265","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"type":"print","value":"1757-7853"},{"type":"electronic","value":"1757-7861"}],"subject":[],"published":{"date-parts":[[2024,10,16]]},"assertion":[{"value":"2024-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}