{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:22:54Z","timestamp":1787840574183,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Below-knee lower limb amputations are commonly performed for multiple indications. These vary across age groups, with trauma being the most common indication among young adults. Although below-knee amputations are disabling, decent functional outcomes can be expected with an adequately long tibial stump and a good prosthesis. In our series, the amputation stump was debrided per the surgeon\u2019s clinical judgement. The fasciocutaneous flap (free or pedicled) was planned according to the patient\u2019s individual needs and the flap\u2019s feasibility at the surgeon\u2019s discretion. A fasciocutaneous flap cover helps preserve the length of the below-knee amputation stump, resulting in better ambulation. A flap cover at the amputation stump is a better alternative to revising the level of amputation. Higher-level amputations have much worse ambulation rates and require more energy for efficient ambulation with prosthesis.<\/jats:p>","DOI":"10.4103\/jwas.jwas_15_24","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T16:04:29Z","timestamp":1725465869000},"page":"187-190","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness of fasciocutaneous flaps for revision of below-knee amputation stumps"],"prefix":"10.4103","volume":"15","author":[{"given":"Prakash Chandra","family":"Kala","sequence":"first","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniket","family":"Dave","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawan Kumar","family":"Dixit","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpi","family":"Karmakar","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepti","family":"Katrolia","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,2]]},"reference":[{"key":"CIT0001-20250217","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1097\/00006534-198706000-00002","article-title":"Free flaps to preserve below-knee amputation stumps: Long-term evaluation","volume":"79","author":"Gallico","year":"1987","journal-title":"Plast Reconstr Surg"},{"key":"CIT0003-20250217","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1097\/SAP.0000000000000220","article-title":"Coverage of amputation stumps using a latissimus Dorsi flap with a serratus anterior muscle flap","volume":"76","author":"Kim","year":"2016","journal-title":"Ann Plast Surg"},{"key":"CIT0005-20250217","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/SAP.0000000000000211","article-title":"Amputation Stump Revision Using a Free Sural Neurocutaneous Perforator Flap","volume":"76","author":"Lu","year":"2016","journal-title":"Ann Plast Surg"},{"key":"CIT0006-20250217","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1097\/00005373-199104000-00008","article-title":"The role of microvascular free flaps in salvaging below-knee amputation stumps: a review of 22 cases","volume":"31","author":"Kasabian","year":"1991","journal-title":"J Trauma"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_15_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:18Z","timestamp":1787837118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_15_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,2]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_15_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,2]]},"assertion":[{"value":"2024-01-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}