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Articles Published Processes
6/11/2026 11:23:56 AM | Browse: 0 | Download: 0
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Received |
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2026-01-06 05:40 |
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Peer-Review Started |
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2026-01-06 07:06 |
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First Decision by Editorial Office Director |
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2026-02-10 09:19 |
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Return for Revision |
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2026-02-10 09:19 |
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Revised |
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2026-02-22 11:19 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-04-15 02:39 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-04-15 10:16 |
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Articles in Press |
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2026-04-15 10:16 |
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Edit the Manuscript by Language Editor |
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2026-04-23 18:51 |
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Typeset the Manuscript |
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2026-05-13 15:37 |
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Publish the Manuscript Online |
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2026-06-11 11:23 |
| ISSN |
1948-9358 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Orthopedics |
| Manuscript Type |
Opinion Review |
| Article Title |
Improving intraoperative perfusion reliability in anterolateral thigh free flap reconstruction for diabetic foot ulcers
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Peng-Yu Lu, Zhuang-Yu Hao, Guang-Wei Xing, Peng-Fei Zhang, Yan-Song Liu, Wen-Yang Li and Ming-Jie Xu |
| ORCID |
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| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| the 2023 Henan Provincial Medical Science and Technology Research Program (Joint Co-construction Project) |
LHGJ20230409 |
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| Corresponding Author |
Ming-Jie Xu, Head, MD, Professor, First Department of Orthopedics, The Fifth Affiliated Hospital of Zhengzhou University, No.3 Kangfuqian Street, Erqi District, Zhengzhou 450052, Henan Province, China. 65727257@qq.com |
| Key Words |
Anterolateral thigh flap; Diabetic foot ulcer; Indocyanine green angiography; Limb salvage; Nutritional status; Perfusion assessment; Systemic optimization; Tissue oxygenation |
| Core Tip |
Intraoperative perfusion remains a key failure point in anterolateral thigh free-flap reconstruction for diabetic foot ulcers. Perfusion is not determined by microsurgical technique alone but reflects a systemic-regional-microcirculatory continuum, often confounded by diabetes-related macrovascular calcification and microvascular dysfunction. We emphasize standardizing indocyanine green fluorescence angiography and shifting from single intensity snapshots to time-intensity kinetics, interpreted alongside toe pressure/toe-brachial index, skin perfusion pressure, and transcutaneous oxygen tension. An actionable perioperative optimization bundle (glycemia, anemia, oxygen delivery, nutrition, monitoring) may improve flap reliability and limb salvage. |
| Publish Date |
2026-06-11 11:23 |
| Citation |
Lu PY, Hao ZY, Xing GW, Zhang PF, Liu YS, Li WY, Xu MJ. Improving intraoperative perfusion reliability in anterolateral thigh free flap reconstruction for diabetic foot ulcers. World J Diabetes 2026; 17(6): 118576
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| URL |
https://www.wjgnet.com/1948-9358/full/v17/i6/118576.htm |
| DOI |
https://doi.org/10.4239/wjd.118576 |
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