CC-BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(02): e111-e117
DOI: 10.1055/s-0037-1604341
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Application of an Iliac Osteocutaneous and Fabricated Chimeric Iliac Osteocutaneous Flap for Foot and Ankle Reconstruction

Zhao Hui Pan
1  Department of Orthopaedics, Institute of Orthopaedic Trauma Surgery of Chinese People's Liberation Army, Weifang, China
,
Ping Ping Jiang
1  Department of Orthopaedics, Institute of Orthopaedic Trauma Surgery of Chinese People's Liberation Army, Weifang, China
,
Shan Xue
1  Department of Orthopaedics, Institute of Orthopaedic Trauma Surgery of Chinese People's Liberation Army, Weifang, China
,
Jian Li Wang
1  Department of Orthopaedics, Institute of Orthopaedic Trauma Surgery of Chinese People's Liberation Army, Weifang, China
› Author Affiliations
Further Information

Publication History

14 March 2017

11 June 2017

Publication Date:
08 August 2017 (online)

Abstract

Background As understanding of the blood supply by superficial circumflex iliac artery (SCIA) to the skin and iliac bone has improved and the use of a perforator flap has become accepted, most previous drawbacks of SICA iliac osteocutaneous flaps, such as bulky flap, small diameter, and inadequate blood supply to bone, can now be overcome. Here, the authors present their experience of using such flaps for the reconstruction of complex defects in the foot and ankle with a focus on feasibility and safety.

Methods A retrospective review of patients who underwent foot and ankle reconstruction using an SCIA iliac osteocutaneous flap between 2010 and 2015 was performed to assess outcomes.

Results Four patients who underwent treatment with SCIA iliac osteocutaneous flaps and eight patients treated with fabricated chimeric iliac osteocutaneous flaps were identified. The iliac segment size ranged from 1 × 3 × 0.7 to 3 × 6 × 1 cm and the skin paddle size ranged from 1 × 4 to 8 × 16 cm. All flaps survived uneventfully except for marginal necrosis in one anterolateral thigh (ALT) flap and one iliac osteocutaneous flap. The median time to bone union was 4 months. All patients were able to walk in normal footwear and none developed significant complications at the donor site.

Conclusion The use of free SCIA iliac osteocutaneous and fabricated chimeric iliac osteocutaneous flaps provides an alternative for treating small- and medium-sized bone defects (smaller than 8 cm) along with soft tissue defects in the foot and ankle region.

Funding

None.