Evidence map›Paper›PMID 40786024›Full record

ReviewSeminars in plastic surgery2025

Orthoplastic Approach to Extremity Reconstruction: A Paradigm Shift in Integrated Limb Salvage.

Cheng-Hung Lin, Ying-Chao Chou, Chung-Chen Hsu, Ren-Wen Huang, Chih-Hung Lin

Abstract readReview
In one paragraph

Review in Seminars in plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cheng-Hung LinDepartment of Plastic and Reconstructive Surgery, Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Ying-Chao ChouDepartment of Orthopedic Surgery, Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chung-Chen HsuDepartment of Plastic and Reconstructive Surgery, Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Ren-Wen HuangDepartment of Plastic and Reconstructive Surgery, Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Chih-Hung LinDepartment of Plastic and Reconstructive Surgery, Chang Gung Medical College and Chang Gung University, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The orthoplastic approach to extremity reconstruction represents a paradigm shift in the management of complex limb injuries, integrating orthopedic and plastic surgery principles to optimize functional and aesthetic outcomes. This review examines the evolution of this approach, its hierarchical framework for addressing tissue defects, and the essential technical competencies required for successful implementation. Key components of orthoplastic extremity reconstruction are illustrated through current evidence focusing on soft tissue management with high free flap success rates, vascularized bone transfers utilizing fibula, iliac crest, and medial femoral condyle flaps, and advanced techniques for amputee reconstruction including regenerative peripheral nerve interfaces and targeted muscle reinnervation. Meta-analysis evidence demonstrates that the synergistic collaboration between orthopedic and plastic surgery specialties achieves significant reduction in infection rates, improved limb salvage rates, and decreased health care costs through reduced hospital stay and revision surgeries. This article emphasizes the importance of multidisciplinary collaboration, comprehensive preoperative planning, and technical expertise in achieving optimal results in complex extremity reconstruction while addressing recent advances in reconstructive microsurgery protocols.

Indexed as

extremity reconstructionorthoplastic reconstructionvascularized bone transfer

Identifiers

PMID40786024
PMCPMC12334260

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.