{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:56:11Z","timestamp":1790740571707,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study was performed to compare the modified direct closure method and traditional skin grafting for wounds at the anterolateral thigh (ALT) flap donor site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Among 29 consecutive patients with wounds at the ALT flap donor site, 14 underwent the modified direct closure method (MDC group) and 15 underwent traditional skin grafting (SG group). The operative time, follow-up time, complications, Vancouver Scar Scale (VSS) score, and Scar Cosmesis Assessment and Rating (SCAR) score of the two groups were statistically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow-up times in the MDC and SG group were 16.1 and 16.7 months, respectively. Two patients showed partial skin necrosis after skin grafting, but the remaining patients\u2019 wounds healed uneventfully. The operative time in the MDC group was an average of about 64 minutes shorter than that in the SG group. The average VSS and SCAR scores in the MDC group were 2.1 and 3.0 points lower, respectively, than those in the SG group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compared with traditional skin grafting, the modified direct closure method is more efficient for repair of wounds at the ALT flap donor site because of its shorter operative time, better postoperative appearance of the donor site, and higher patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520925372","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T03:52:33Z","timestamp":1589946753000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of the modified direct closure method and skin grafting for wounds at the anterolateral thigh flap donor site"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8589-4573","authenticated-orcid":false,"given":"Song","family":"Gu","sequence":"first","affiliation":[{"name":"Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University, Wuxi, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinjun","family":"Huang","sequence":"additional","affiliation":[{"name":"Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huichao","family":"Fu","sequence":"additional","affiliation":[{"name":"Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3084-4303","authenticated-orcid":false,"given":"Guheng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renguo","family":"Xie","sequence":"additional","affiliation":[{"name":"Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,20]]},"reference":[{"key":"bibr1-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000394"},{"key":"bibr2-0300060520925372","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1055\/s-0038-1672336","volume":"11","author":"Nikkhah D","year":"2018","journal-title":"J Hand Microsurg"},{"key":"bibr3-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-016-0972-8"},{"key":"bibr4-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.06.010"},{"key":"bibr5-0300060520925372","first-page":"104","volume":"35","author":"Zelken JA","year":"2014","journal-title":"Microsurgery"},{"key":"bibr6-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2017.09.022"},{"key":"bibr7-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2012.05.003"},{"key":"bibr8-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200212000-00007"},{"key":"bibr9-0300060520925372","doi-asserted-by":"publisher","DOI":"10.5999\/aps.2017.00563"},{"key":"bibr10-0300060520925372","first-page":"219","volume":"35","author":"Jeng SF","year":"2012","journal-title":"Chang Gung Med J"},{"key":"bibr11-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518786912"},{"key":"bibr12-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000218248.22811.70"},{"key":"bibr13-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2011.07.015"},{"key":"bibr14-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1177\/229255031202000103"},{"key":"bibr15-0300060520925372","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195702000-00004"},{"key":"bibr16-0300060520925372","unstructured":"Radovan C. 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