{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T12:05:57Z","timestamp":1722945957862},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:p>Introduction: The free anterolateral thigh (ALT) flap is commonly used to repair a large loss of soft tissue following a lower-limb injury. An issue to be managed is the choice of adequate recipient vessels when the tibial arteries result damaged. In this scenario, vein grafts can be interposed to connect a healthy recipient vessel to the ALT flap pedicle.  Case Report: We present a report of a 19-year-old male who suffered a Gustilo fracture type IIIc after a road injury involving the right lower limb. After a failed first attempt of limb salvage with reconstruction of extensor tendons and a free ALT flap, a second procedure was performed using another ALT flap with interposed vein grafts to reach very proximal recipient vessels.  Results: The patient demonstrated excellent recovery and restored ambulation. The effectiveness of the most complex reconstructive options for a high-demanding patient with no comorbidities is demonstrated in this case.  Conclusion: The key to success in even the most complex injury cases is early intervention, meticulous surgical planning, and a multidisciplinary approach.  Keywords: Anterolateral thigh flap, vein graft, gustilo fracture, ankle, tendon graft, limb salvage.<\/jats:p>","DOI":"10.13107\/jocr.2024.v14.i05.4450","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T13:14:21Z","timestamp":1715951661000},"page":"104-108","source":"Crossref","is-referenced-by-count":0,"title":["Lower-Limb Salvage Procedure using Anterolateral Thigh Free Flap and Multiple Tendon Grafts in a Road Injury Patient: A Case Report"],"prefix":"10.13107","volume":"14","author":[{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tito","family":"Brambullo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Fanton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Valotto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfio Luca","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Vindigni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franco","family":"Bassetto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2024]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T13:14:21Z","timestamp":1715951661000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2024\/05\/10\/lower-limb-salvage-procedure-using-anterolateral-thigh-free-flap-and-multiple-tendon-grafts-in-a-road-injury-patient-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024]]},"published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2024.v14.i05.4450","relation":{},"ISSN":["2321-3817"],"issn-type":[{"type":"electronic","value":"2321-3817"}],"subject":[],"published":{"date-parts":[[2024]]}}}