{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:45Z","timestamp":1787755365462,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 19-year-old woman presented with bilateral mangled upper extremities after jumping in front of a moving train. After revascularization, osteocutaneous free vascularized fibula flap was performed to reconstruct the right humerus. The left forearm required transradial amputation with acute targeted muscle reinnervation. Finally, staged bilateral bipolar latissimus dorsi functional muscle flaps were performed to restore elbow flexion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Staged orthoplastic reconstruction of the upper extremities is an effective treatment approach for traumatic bone and soft-tissue defects. This patient\u2019s recovery demonstrates improved quality of life after severe upper extremity trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00286","type":"journal-article","created":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T15:20:04Z","timestamp":1665760804000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Free Vascularized Fibular Flap with Bilateral Bipolar Latissimus Transfer for Upper Extremity Reconstruction"],"prefix":"10.2106","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4014-3922","authenticated-orcid":false,"given":"Parinaz J.","family":"Dabestani","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Loyola University Medical Center, Maywood, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7632-4699","authenticated-orcid":false,"given":"Matthew D.","family":"Ramsey","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4096-5459","authenticated-orcid":false,"given":"Ava G.","family":"Chappell","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Fracol","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael D.","family":"Stover","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3360-552X","authenticated-orcid":false,"given":"Jason H.","family":"Ko","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"},{"name":"Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,10]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.ajem.2005.08.021","article-title":"National trends in ED lacerations between 1992 and 2002","volume":"24","author":"Singer","year":"2006","journal-title":"Am J Emerg Med."},{"key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"777","DOI":"10.7205\/MILMED.172.7.777","article-title":"Application of the mangled extremity severity score in a combat setting","volume":"172","author":"Rush","year":"2007","journal-title":"Mil Med."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s11751-012-0137-4","article-title":"Management of the mangled extremity","volume":"7","author":"Prasarn","year":"2012","journal-title":"Strateg Trauma Limb Reconstruction."},{"key":"bib4-20240805","first-page":"59","article-title":"Bilateral biceps replacement-plasty by transposition of the latissimus dorsi muscle in arthrogryposis multiplex congenita. 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