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Experience with free composite tissue transplantation based on the deep circumflex iliac vessels
Author(s) -
Satoh Tetsuo,
Tsuchiya Masamitsu,
Kobayashi Masafumi,
Nomoto Sakae,
Yasuwaki Yoshiyuki,
Harii Kiyonori,
Moriwaki Masayuki
Publication year - 1981
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.1920030204
Subject(s) - medicine , circumflex , iliac bone , surgery , transplantation , free flap , iliac crest , vein , iliac artery , anatomy , artery
Eight free iliac osteocutaneous flaps and three vascularized iliac bone grafts based on the deep circumflex iliac vessels were transferred in 11 cases of large skin and bone or bone defects. Seven of the eight osteocutaneous flaps took successfully. The eighth demonstrated partial necrosis. There was complete bone union in ten cases, and no union in one case as a result of persistent infection. Based on this experience, we conclude that free osteocutaneous flaps based on the deep circumflex iliac vessels have the following advantages over free osteocutaneous flaps based on the superficial circumflex iliac vessels: the pedicle is long (5 to 7 cm); the nutrient vessels are large (artery: 2.2 mm; vein: 2.5 mm); the anatomic course of the vessels is constant; and there is a large amount of bone available.