{"id":"https://openalex.org/W7204568016","doi":"https://doi.org/10.1097/sap.0000000000004873","title":"Hybrid-Enveloped Pedicle of Distant Abdominal Flap for Reconstruction of Extensive Upper Extremity Defects","display_name":"Hybrid-Enveloped Pedicle of Distant Abdominal Flap for Reconstruction of Extensive Upper Extremity Defects","publication_year":2026,"publication_date":"2026-08-28","ids":{"openalex":"https://openalex.org/W7204568016","doi":"https://doi.org/10.1097/sap.0000000000004873","pmid":"https://pubmed.ncbi.nlm.nih.gov/42663551"},"language":"en","primary_location":{"id":"doi:10.1097/sap.0000000000004873","doi":"https://doi.org/10.1097/sap.0000000000004873","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sap.0000000000004873","pdf_url":null,"source":{"id":"https://openalex.org/S11131942","display_name":"Annals of Plastic Surgery","issn_l":"0148-7043","issn":["0148-7043","1536-3708"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Plastic Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5109762952","display_name":"Yutong Yuan","orcid":"https://orcid.org/0009-0003-5063-7931","observed_orcids":["https://orcid.org/0009-0003-5063-7931","https://orcid.org/0000-0003-4056-6538"]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210092004","display_name":"Plastic Surgery Hospital","ror":"https://ror.org/00fk0yb75","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092004"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yutong Yuan","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210092004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072141196","display_name":"Lehao Wu","orcid":"https://orcid.org/0000-0003-0127-2609","observed_orcids":["https://orcid.org/0000-0003-0127-2609"]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210092004","display_name":"Plastic Surgery Hospital","ror":"https://ror.org/00fk0yb75","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092004"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Lehao Wu","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210092004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101726818","display_name":"Yuanbo Liu","orcid":"https://orcid.org/0000-0002-9768-5880","observed_orcids":["https://orcid.org/0000-0002-9768-5880"]},"institutions":[{"id":"https://openalex.org/I2802957242","display_name":"Beijing Jishuitan Hospital","ror":"https://ror.org/035t17984","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802957242"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuanbo Liu","raw_affiliation_strings":["Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, China","institution_ids":["https://openalex.org/I2802957242"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016468297","display_name":"Danying Wang","orcid":"https://orcid.org/0009-0007-0687-5296","observed_orcids":["https://orcid.org/0009-0007-0687-5296"]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210092004","display_name":"Plastic Surgery Hospital","ror":"https://ror.org/00fk0yb75","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092004"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Danying Wang","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210092004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007484068","display_name":"Zhouyou Tang","orcid":"https://orcid.org/0009-0001-8306-4848","observed_orcids":["https://orcid.org/0009-0001-8306-4848"]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210092004","display_name":"Plastic Surgery Hospital","ror":"https://ror.org/00fk0yb75","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092004"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhouyou Tang","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210092004"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002445366","display_name":"Dedi Tong","orcid":"https://orcid.org/0000-0002-9704-8275","observed_orcids":["https://orcid.org/0000-0002-9704-8275"]},"institutions":[{"id":"https://openalex.org/I2802957242","display_name":"Beijing Jishuitan Hospital","ror":"https://ror.org/035t17984","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2802957242"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Dedi Tong","raw_affiliation_strings":["Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing, China","institution_ids":["https://openalex.org/I2802957242"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109111139","display_name":"Shan Zhu","orcid":"https://orcid.org/0009-0009-7805-7000","observed_orcids":["https://orcid.org/0009-0009-7805-7000"]},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I4210092004","display_name":"Plastic Surgery Hospital","ror":"https://ror.org/00fk0yb75","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210092004"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Shan Zhu","raw_affiliation_strings":["Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I4210092004"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71013058,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"97","issue":"5","first_page":"545","last_page":"550"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11866","display_name":"Reconstructive Facial Surgery Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/upper-extremity-reconstruction","display_name":"upper limb reconstruction","score":0.7730000019073486},{"id":"https://openalex.org/keywords/artificial-dermis","display_name":"artificial dermis","score":0.8320000171661377},{"id":"https://openalex.org/keywords/donor-site-morbidity","display_name":"donor site morbidity","score":0.9639999866485596},{"id":"https://openalex.org/keywords/flap-survival","display_name":"flap survival","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9739000201225281},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7368000149726868},{"id":"https://openalex.org/C116558999","wikidata":"https://www.wikidata.org/wiki/Q4131496","display_name":"Reconstructive surgery","level":2,"score":0.5253000259399414},{"id":"https://openalex.org/C2778754067","wikidata":"https://www.wikidata.org/wiki/Q354111","display_name":"Abdominal wall","level":2,"score":0.37400001287460327},{"id":"https://openalex.org/C2779705553","wikidata":"https://www.wikidata.org/wiki/Q7168177","display_name":"Perforator flaps","level":2,"score":0.3474000096321106},{"id":"https://openalex.org/C2777624698","wikidata":"https://www.wikidata.org/wiki/Q505531","display_name":"Dermis","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C2991913917","wikidata":"https://www.wikidata.org/wiki/Q5871352","display_name":"Skin flap","level":2,"score":0.2946999967098236},{"id":"https://openalex.org/C2911218161","wikidata":"https://www.wikidata.org/wiki/Q4131496","display_name":"Reconstructive Surgeon","level":2,"score":0.29179999232292175},{"id":"https://openalex.org/C137762411","wikidata":"https://www.wikidata.org/wiki/Q182442","display_name":"Plastic surgery","level":2,"score":0.26510000228881836},{"id":"https://openalex.org/C180016635","wikidata":"https://www.wikidata.org/wiki/Q2712821","display_name":"Compression (physics)","level":2,"score":0.2628999948501587},{"id":"https://openalex.org/C2779912925","wikidata":"https://www.wikidata.org/wiki/Q5871352","display_name":"Free flap","level":2,"score":0.26089999079704285}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001134","descriptor_name":"Arm Injuries","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006085","descriptor_name":"Graft Survival","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013524","descriptor_name":"Surgical Flaps","qualifier_ui":"Q000637","qualifier_name":"transplantation","is_major_topic":true},{"descriptor_ui":"D017695","descriptor_name":"Soft Tissue Injuries","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D017768","descriptor_name":"Skin, Artificial","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019651","descriptor_name":"Plastic Surgery Procedures","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D061525","descriptor_name":"Perforator Flap","qualifier_ui":"Q000637","qualifier_name":"transplantation","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/sap.0000000000004873","doi":"https://doi.org/10.1097/sap.0000000000004873","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sap.0000000000004873","pdf_url":null,"source":{"id":"https://openalex.org/S11131942","display_name":"Annals of Plastic Surgery","issn_l":"0148-7043","issn":["0148-7043","1536-3708"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Plastic Surgery","raw_type":"journal-article"},{"id":"pmid:42663551","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42663551","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of plastic surgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9789000153541565,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W171786396","https://openalex.org/W1981492482","https://openalex.org/W2000495484","https://openalex.org/W2033359127","https://openalex.org/W2034787489","https://openalex.org/W2044486786","https://openalex.org/W2049801183","https://openalex.org/W2061152861","https://openalex.org/W2061813897","https://openalex.org/W2072073812","https://openalex.org/W2075122976","https://openalex.org/W2113459279","https://openalex.org/W2169082815","https://openalex.org/W2326276889","https://openalex.org/W2499834688","https://openalex.org/W2536778343","https://openalex.org/W2900031165","https://openalex.org/W2966162688","https://openalex.org/W3007851010","https://openalex.org/W3010971714","https://openalex.org/W3017328144","https://openalex.org/W3138569347","https://openalex.org/W3143122087","https://openalex.org/W3217364275","https://openalex.org/W4240287321","https://openalex.org/W4386574654","https://openalex.org/W4391196771","https://openalex.org/W4400382626","https://openalex.org/W4413286649"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Extensive":[1],"upper":[2,256],"extremity":[3,257],"soft-tissue":[4],"defects":[5,89,258],"with":[6,84,173,184,201],"exposed":[7],"vital":[8],"structures":[9],"present":[10],"a":[11,27,49,53,65,93,105,109,112,120,213,248],"significant":[12],"reconstructive":[13,203,252],"challenge,":[14],"particularly":[15],"when":[16],"microsurgical":[17],"options":[18],"are":[19],"unavailable.":[20,268],"Traditional":[21],"distant":[22,225],"pedicled":[23,96],"abdominal":[24,97,226],"flaps":[25,138,177],"require":[26],"wide":[28],"skin":[29,61,114],"tube":[30],"to":[31,63,69,154,219],"protect":[32],"the":[33,143,148,202,220],"vascular":[34,100,162],"pedicle,":[35,67],"resulting":[36],"in":[37,192,259],"substantial":[38],"donor-site":[39,71,130,232],"morbidity":[40],"and":[41,59,73,80,116,132,182,195,216,240,250],"risks":[42],"of":[43,56,111,142],"pedicle":[44,101,144,158,210],"compression.":[45],"This":[46,244],"study":[47],"introduces":[48],"modified":[50],"technique":[51,211],"utilizing":[52],"hybrid":[54,149,209],"combination":[55,110],"artificial":[57,117,207],"dermis":[58],"local":[60],"flap":[62,115,127,227],"create":[64],"hybrid-enveloped":[66],"aiming":[68],"minimize":[70],"sacrifice":[72],"improve":[74],"postoperative":[75,238],"management.":[76,175],"METHODS:":[77],"Between":[78],"2019":[79],"2025,":[81],"5":[82,137],"patients":[83,197],"extensive":[85],"proximal":[86],"or":[87,161,267],"mid-forearm":[88],"underwent":[90],"reconstruction":[91],"using":[92,104],"paraumbilical":[94],"perforator-based":[95],"flap.":[98],"The":[99,140,206],"was":[102],"protected":[103],"conduit":[106],"constructed":[107],"from":[108,152],"small":[113],"dermis,":[118],"forming":[119],"flexible":[121],"tube.":[122],"A":[123],"retrospective":[124],"review":[125],"assessed":[126],"survival,":[128],"complications,":[129],"outcomes,":[131],"functional":[133],"recovery.":[134],"RESULTS:":[135],"All":[136,176],"survived.":[139],"length":[141],"segment":[145],"enclosed":[146],"by":[147],"envelope":[150],"ranged":[151],"4":[153],"7":[155],"cm.":[156],"No":[157],"compression,":[159],"infection,":[160],"crisis":[163],"occurred.":[164],"One":[165],"patient":[166],"developed":[167],"distal":[168],"flap-tip":[169],"necrosis,":[170],"which":[171],"healed":[172],"conservative":[174],"demonstrated":[178],"satisfactory":[179],"contour,":[180],"texture,":[181],"integration":[183],"surrounding":[185],"tissues.":[186],"Upper-extremity":[187],"joint":[188],"motion":[189],"recovered":[190],"well":[191],"all":[193,196],"cases,":[194],"reported":[198],"high":[199],"satisfaction":[200],"outcome.":[204],"CONCLUSIONS:":[205],"dermis-assisted":[208],"offers":[212],"safe,":[214],"reliable,":[215],"tissue-sparing":[217],"alternative":[218],"conventional":[221],"skin-tube":[222],"method":[223],"for":[224,254],"transfer.":[228],"It":[229],"effectively":[230],"reduces":[231],"morbidity,":[233],"minimizes":[234],"compression":[235],"risk,":[236],"enhances":[237],"monitoring,":[239],"facilitates":[241],"earlier":[242],"rehabilitation.":[243],"refined":[245],"approach":[246],"represents":[247],"practical":[249],"accessible":[251],"solution":[253],"complex":[255],"settings":[260],"where":[261],"free":[262],"tissue":[263],"transfer":[264],"is":[265],"contraindicated":[266]},"counts_by_year":[],"updated_date":"2026-10-15T10:00:46.086208","created_date":"2026-08-29T00:00:00"}