Trophic Ulcer Elimination in Free Flap Reconstructed Weight-Bearing Plantar Defect: A Clinical Challenge.

Chih-Hung Lin, Cheng-Hung Lin, Chung-Chen Hsu

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 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing 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

1 citing paper in PubMed.

[Classification and Ilizarov reconstruction strategies for post-infectious calcaneal bone defects].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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

3 authors.

Chih-Hung LinDepartment of Plastic and Reconstructive Surgery, International Master Science Program in Reconstructive Microsurgery, Center for Vascularized Composite Allotransplantation, Chang Gung University, College of Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Cheng-Hung LinDepartment of Plastic and Reconstructive Surgery, International Master Science Program in Reconstructive Microsurgery, Center for Vascularized Composite Allotransplantation, Chang Gung University, College of Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Chung-Chen HsuDepartment of Plastic and Reconstructive Surgery, International Master Science Program in Reconstructive Microsurgery, Center for Vascularized Composite Allotransplantation, Chang Gung University, College of Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trophic ulceration represents a significant complication following free flap reconstruction of the plantar surface. Despite successful microvascular tissue transfer for posttraumatic defects, these ulcers develop due to biomechanical incompatibility, sensory deficits, and altered pressure distribution. This review examines the multifaceted pathophysiology of trophic ulcers in reconstructed plantar surfaces, comparing tissue characteristics across different flap options and exploring evidence-based preventive and management strategies. Understanding the biomechanical principles, including friction forces, shear stress, and viscoelastic properties, is crucial for optimizing surgical planning and postoperative care to reduce ulceration risk and preserve long-term foot function.

Indexed as

free flapmicrosurgeryplantar reconstructionsensory losstrophic ulcer

Identifiers

PMID40786028

DOI10.1055/s-0045-1809701

PMCPMC12334258

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

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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.