{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T10:51:30Z","timestamp":1779101490172,"version":"3.51.4"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[1997,11,1]],"date-time":"1997-11-01T00:00:00Z","timestamp":878342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1997,11]]},"abstract":"<jats:p> Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage. The flap is based on the peroneal vessels and is covered by a split-thickness skin graft. <\/jats:p><jats:p> We report the results in five patients with an average bone defect of 8.3 cm and soft-tissue and skin loss. All regained a normal gait on the donor side; four had clinical and radiological union with excellent soft-tissue cover, but one required later amputation due to diffuse coagulopathy. <\/jats:p><jats:p> The flap provides free vascularised bone with muscle cover. It has a dependable, long pedicle with minimal morbidity at the donor site, and allows monitoring of the vascularity of the fibular graft. <\/jats:p>","DOI":"10.1302\/0301-620x.79b6.0790964","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:52:54Z","timestamp":1519213974000},"page":"964-968","source":"Crossref","is-referenced-by-count":16,"title":["THE FIBULA-FLEXOR HALLUCIS LONGUS OSTEOMUSCULAR FLAP"],"prefix":"10.1302","volume":"79-B","author":[{"given":"D. S.","family":"Ruch","sequence":"first","affiliation":[{"name":"Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina 27157-1070, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. A.","family":"Koman","sequence":"additional","affiliation":[{"name":"Bowman Gray School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina 27157-1070, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B6.0790964","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B6.0790964","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:05:09Z","timestamp":1629140709000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.79B6.0790964"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,11]]},"references-count":0,"aliases":["10.1302\/0301-620x.79b6.7556"],"journal-issue":{"issue":"6","published-print":{"date-parts":[[1997,11]]}},"alternative-id":["10.1302\/0301-620X.79B6.0790964"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.79b6.0790964","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,11]]}}}