{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:28:10Z","timestamp":1788456490543,"version":"build-2803163510"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T00:00:00Z","timestamp":1640822400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Augmentation of soft tissue repairs has been helpful in protecting surgically repaired tissues as they heal. FlexBand (Artelon, Marietta, Georgia) is a synthetic, degradable, polycaprolactone-based polyurethane urea (PUUR) matrix that has been investigated and used for soft tissue repair in a variety of settings. The purpose of this study was to evaluate the safety profile of a PUUR matrix in a large cohort of patients undergoing soft tissue repairs about the foot and ankle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective chart review of consecutive patients who underwent surgery using FlexBand to augment a soft tissue repair was performed to evaluate for major and minor complications related to the PUUR matrix.\n                      <jats:italic toggle=\"yes\">Results<\/jats:italic>\n                      . A total of 105 patients with an average &gt;6 months follow-up were included. The most common procedures were spring ligament repair, Achilles tendon repair, and Brostrom. There were 12 complications. Four major complications occurred with only 1 requiring PUUR matrix removal. Patients with wound complications had a higher body mass index (BMI) and rate of smoking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Complication rates involving PUUR matrix in soft tissue foot and ankle reconstruction procedures are low and comparable with historical complication rates. The PUUR matrix is safe for use in a variety of soft tissue procedures about the foot and ankle.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Level of Evidence:<\/jats:bold>\n                      Level 4, Retrospective case-series\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400211067627","type":"journal-article","created":{"date-parts":[[2021,12,30]],"date-time":"2021-12-30T05:29:30Z","timestamp":1640842170000},"page":"201-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Safety Profile of Synthetic Elastic Degradable Matrix for Soft Tissue Reconstruction in Foot &amp; Ankle Surgery"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9855-7442","authenticated-orcid":false,"given":"Michael J.","family":"Kelly","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC (MJK)"},{"name":"Mercy Medical Center, Baltimore, Maryland (DMD)"},{"name":"Orthopaedic Foot &amp; Ankle Center, The Centers for Advanced Orthopaedics, Bethesda, Maryland (SHH, SKN, DJC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel M.","family":"Dean","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC (MJK)"},{"name":"Mercy Medical Center, Baltimore, Maryland (DMD)"},{"name":"Orthopaedic Foot &amp; Ankle Center, The Centers for Advanced Orthopaedics, Bethesda, Maryland (SHH, SKN, DJC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed H.","family":"Hussaini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC (MJK)"},{"name":"Mercy Medical Center, Baltimore, Maryland (DMD)"},{"name":"Orthopaedic Foot &amp; Ankle Center, The Centers for Advanced Orthopaedics, Bethesda, Maryland (SHH, SKN, DJC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven K.","family":"Neufeld","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC (MJK)"},{"name":"Mercy Medical Center, Baltimore, Maryland (DMD)"},{"name":"Orthopaedic Foot &amp; Ankle Center, The Centers for Advanced Orthopaedics, Bethesda, Maryland (SHH, SKN, DJC)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Cuttica","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, MedStar Georgetown University Hospital, Washington, DC (MJK)"},{"name":"Mercy Medical Center, Baltimore, Maryland (DMD)"},{"name":"Orthopaedic Foot &amp; Ankle Center, The Centers for Advanced Orthopaedics, Bethesda, Maryland (SHH, SKN, DJC)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2018.12.024"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290061401."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100219"},{"issue":"219","key":"e_1_3_2_5_2","first-page":"107","article-title":"Synthetic ligaments. 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