{"doi":"10.1016/j.bjps.2023.04.049","title":"Comparison of outcomes following pedicled and free flap transfers for the defect after shoulder sarcoma resection","abstract":null,"journal":"Journal of Plastic, Reconstructive &amp; Aesthetic Surgery","year":2023,"id":623755,"datarank":0.23895337014040222,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.031009215972418604,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.031009215972418604,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":2,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1417891,"name":"Hidehiko Yoshimatsu","orcid":"0000-0001-5427-817X","position":1,"is_corresponding":false},{"id":1612191,"name":"Yuma Fuse","orcid":null,"position":2,"is_corresponding":false},{"id":1612192,"name":"Tomoyuki Yano","orcid":null,"position":3,"is_corresponding":false},{"id":1612190,"name":"Ryo Karakawa","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Comparison of outcomes following pedicled and free flap transfers for the defect after shoulder sarcoma resection","abstract":"<h4>Background</h4>Reconstruction after wide resection of a sarcoma arising in the shoulder girdle is challenging, and little evidence is available to compare short-term outcomes between pedicled-flap and free-flap reconstruction.<h4>Patients and methods</h4>Thirty-eight patients undergoing immediate reconstruction surgery with only a pedicled-flap (n = 18) and with a free-flap (n = 20) after sarcoma resection on the shoulder girdle between July 2005 and March 2022 were identified. One-to-one propensity score matching was performed to compare the postoperative complications.<h4>Results</h4>Transferred flaps survived completely in 20 cases in the free-flap group. In the all-patient analysis of binary outcomes, the occurrences of total complications, takebacks, total flap complications, and flap dehiscence were higher in the pedicled-flap group than in the free-flap group. The propensity score-matched analysis showed the occurrence of total complications was significantly higher in the pedicled-flap group than the free-flap group (53.8% vs. 7.7%, p = 0.03). In the propensity score-matched analysis of continuous outcomes, the pedicled-flap group demonstrated a shorter operation time than the free-flap group (279 vs. 381 min, p = 0.05).<h4>Conclusions</h4>This clinical study demonstrated the feasibility and reliability of a free-flap transfer for the defect after wide resection of a sarcoma arising in the shoulder girdle.","is_dataset_classified":null,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37302243","pmcid":null,"openalex_id":"https://openalex.org/W4366245937","authors":[],"funders":[],"total_grants":0,"fwci":0.7651,"citation_percentile":0.6969569,"influential_citations":0,"citation_trend":[{"year":2024,"count":1},{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"closed","license":"https://www.elsevier.com/legal/tdmrep-license","oa_locations":[{"url":"https://api.elsevier.com/content/article/PII:S1748681523001924?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S1748681523001924?httpAccept=text/plain","host_type":"publisher"},{"url":"https://doi.org/10.1016/j.bjps.2023.04.049","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37302243","host_type":"repository"}],"fields_of_study":["Reconstructive Surgery and Microvascular Techniques","Sarcoma Diagnosis and Treatment","Surgical site infection prevention","Humans","Free Tissue Flaps","Shoulder","Reproducibility of Results","Plastic Surgery Procedures","Sarcoma","Soft Tissue Neoplasms","Retrospective Studies"],"mesh_terms":["Humans","Retrospective Studies","Sarcoma","Shoulder","Soft Tissue Neoplasms","Reproducibility of Results","Plastic Surgery Procedures","Free Tissue Flaps"],"keywords":["Medicine","Surgery","Free flap","Dehiscence","Sarcoma","Shoulder girdle","Resection","Wound dehiscence","Free flap reconstruction","Propensity score matching","Alt Flap","Free-flap Reconstruction","Shoulder Reconstruction","Scip Flap","Pap Flap"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T01:14:56.702936Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}