{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T01:05:47Z","timestamp":1762045547588,"version":"3.37.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"vor","delay-in-days":632,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T00:00:00Z","timestamp":1594771200000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>\n          Background  Adipofascial flaps covered with a skin graft address the challenges involved in reconstructing dorsal foot defects. The purpose of this study was to describe a large adipofascial flap based on the perforators of the dorsalis pedis artery for large foot defects.<\/jats:p><jats:p>\n          Methods  Twelve patients aged 5\u201318 years with large soft tissue defects of the dorsal foot due to trauma were treated with an extended dorsalis pedis adipofascial flap from May 2016 to December 2018. The flap was elevated from the non-injured half of the dorsum of the foot. Its length was increased by fascial extension from the medial or lateral foot fascia to the plantar fascia to cover the defect. All perforators of the dorsalis pedis artery were preserved to increase flap viability. The dorsalis pedis artery and its branches were kept intact.<\/jats:p><jats:p>\n          Results  The right foot was affected in 10 patients, and the left foot in two patients. All flaps survived, providing an adequate contour and durable coverage with a thin flap. Follow-up lasted up to 2 years, and patients were satisfied with the results. They were able to wear shoes. Donor-site morbidity was negligible. Two cases each of partial skin graft loss and superficial necrosis at the tip of the donor cutaneous flap occurred and were healed by a dressing.<\/jats:p><jats:p>\n          Conclusions  The hinged multiperforator-based extended dorsalis pedis adipofascial flap described herein is a suitable method for reconstructing dorsal foot defects, as it provides optimal functional and aesthetic outcomes with minimal donor site morbidity.<\/jats:p>","DOI":"10.5999\/aps.2019.01039","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T01:31:17Z","timestamp":1595208677000},"page":"340-346","update-policy":"https:\/\/doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Hinged multiperforator-based extended dorsalis pedis adipofascial flap for dorsal foot defects"],"prefix":"10.1055","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5506-7796","authenticated-orcid":false,"given":"Magdy A.","family":"Abd Al Moktader","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"144","DOI":"10.5005\/jp-journals-10028-1032","article-title":"Epidemiological pattern of foot injuries in india: preliminary assessment of data from a tertiary hospital","volume":"46","author":"MS Dhilon","year":"2012","journal-title":"J Postgrad Med Edu Res"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1016\/S0305-4179(99)00130-8","article-title":"Car-tyre friction injuries of the foot in children","volume":"26","author":"MM Al-Qattan","year":"2000","journal-title":"Burns"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1055\/s-2007-1006489","article-title":"Moving car-tire injuries of the foot: reconstruction with microvascular free flaps","volume":"12","author":"E Nuzumlali","year":"1996","journal-title":"J Reconstr Microsurg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/0007-1226(86)90042-1","article-title":"Reconstruction of the lower leg and foot with the reverse-pedicled anterior tibial flap: preliminary report of a new fasciocutaneous flap","volume":"39","author":"JT Wee","year":"1986","journal-title":"Br J Plast Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/0007-1226(89)90035-0","article-title":"Reconstruction of the lower leg and foot with the reverse pedicled posterior tibial fasciocutaneous flap","volume":"42","author":"G Hong","year":"1989","journal-title":"Br J Plast Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1097\/00000637-198909000-00011","article-title":"The extended digitorum brevis muscle flap","volume":"23","author":"FN Gahhos","year":"1989","journal-title":"Ann Plast Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1097\/00000637-199004000-00004","article-title":"Heel and foot reconstruction using reverse-flow posterior tibial flap","volume":"24","author":"K Satoh","year":"1990","journal-title":"Ann Plast Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1097\/00006534-199008000-00019","article-title":"The reverse-flow posterior tibial artery island flap: anatomic study and 72 clinical cases","volume":"86","author":"K Liu","year":"1990","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/0007-1226(91)90120-9","article-title":"Adipofascial turn-over flap for reconstruction of the dorsum of the foot","volume":"44","author":"CS Lai","year":"1991","journal-title":"Br J Plast 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applications","volume":"115","author":"O Heymans","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1097\/00005373-199504000-00028","article-title":"Clinical application of the distally based medial adipofascial flap for soft tissue defects on the lower half of the leg","volume":"38","author":"SD Lin","year":"1995","journal-title":"J Trauma"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1097\/00006534-198409000-00013","article-title":"Peroneal flap for reconstruction in the extremity: preliminary report","volume":"74","author":"M Yoshimura","year":"1984","journal-title":"Plast Reconstr Surg"},{"key":"ref22","first-page":"1047","article-title":"The role of intrinsic muscle flaps of the foot for bone coverage in foot and ankle defects in diabetic and nondiabetic patients","volume":"110","author":"CE Attinger","year":"2002","journal-title":"Plast Reconstr 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