Abstract：
BACKGROUND: The superficial circumflex iliac artery (SCIA)-based iliac bone flap has yet to be widely used. The purpose of this article is to validate the feasibility of SCIA-based iliac bone flap transfers for reconstruction of small to moderate-sized bony defects. Retrospective outcome comparisons between SCIA-based iliac bone flaps and fibula flaps were made. METHODS: Twenty-six patients with bony tissue defects underwent reconstructions using either free SCIA-based iliac bone flaps (13) or fibula flaps (13). Outcomes were evaluated 9 months after the reconstruction on the following basis: bone length, pedicle length, skin paddle area, bone union, donor-site complications, skin paddle survival, and complications at the reconstructed site. RESULTS: There was no statistically significant difference in pedicle length (iliac bone vs. fibula; 5.5 ± 1.8 vs. 4.1 ± 1.5 cm; p = 0.181), in bone union rate (iliac bone vs. fibula; 100 vs 92.3%; p = 0.308), in donor-site complication rate (iliac bone vs. fibula; 0 vs. 7.7%; p = 0.308), or in skin paddle complete survival rate (iliac bone vs. fibula; 100 vs. 83.3%; p = 0.125). Statistically significant differences were observed in bone flap length (iliac bone vs. fibula; 4.8 ± 2.2 vs. 11.1 ± 4.8 cm; p = 0.0005), in skin paddle area (superficial circumflex iliac artery perforator flap vs. peroneal artery perforator flap; 58.8 ± 35.6 vs. 27.7 ± 17.5 cm2; p = 0.0343), and in reconstructed site complication rate (iliac bone vs. fibula; 0 vs. 30.8%; p = 0.030). CONCLUSION: In our series of SCIA-based iliac bone flap transfers, up to 8 × 3 cm could be procured along the iliac crest. When compared with fibula flap transfers, there were no significant statistical differences in pedicle length or in bone union rate; the SCIA-based iliac bone flap may be a feasible option for bony defects of small to moderate size.
journal_name
J Reconstr Microsurgjournal_title
Journal of reconstructive microsurgeryauthors
Yoshimatsu H,Iida T,Yamamoto T,Hayashi Adoi
10.1055/s-0038-1651489subject
Has Abstractpub_date
2018-11-01 00:00:00pages
719-728issue
9eissn
0743-684Xissn
1098-8947journal_volume
34pub_type
杂志文章abstract：BACKGROUND: The use of caffeine is not recommended prior to elective microsurgery due to its demonstrated negative effects on vessel anastomosis by the presumed sympathomimetic induction of vasoconstriction. In this study, we aimed to elucidate the systemic and local effects of caffeine on vessel diameter, anastomosis ...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-0038-1672130
更新日期：2019-05-01 00:00:00
abstract：:Numerous investigators have attempted to enhance the survival of ischemic experimental skin flaps using various pharmacologic manipulations. Recently, the authors' laboratory demonstrated the beneficial effect of iloprost, a stable PGI2 analogue, as a post-ischemic perfusion washout, in improving the survival of ische...
journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2007-1006549
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abstract：:A retrospective analysis of 100 consecutive patients undergoing free fibula harvest at the Mayo Clinic is presented. Every patient was analyzed by reviewing postoperative physical examination data. All patients were evaluated and followed in the early postoperative course by the physical medicine and rehabilitation se...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
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abstract：BACKGROUND: Investigating correlations between clinical, instrumental, and genetic features of primary lymphedema (PL) with the aim to facilitate the diagnosis, the staging, and the management of this subgroup of patients. METHODS: A prospective observational study was conducted from September 2016 to May 2018, includ...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-0039-1698748
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abstract：:The anatomy of the ascending branch of the deep circumflex iliac vessels is reported. This vasculature allows the design of a musculoperitoneal flap, not exceeding 7 cm x 14 cm, together with an osteomusculocutaneous groin flap. The procedure is particularly useful, if resection of an intraoral carcinoma has included ...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1006848
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abstract：:This study examined the use of freeze-thawed muscle as a nerve graft material in Sprague-Dawley rats. In Group 1 (n = 4), the sciatic nerve was isolated and the incision immediately closed. In Group 2 (n = 4), a 5-mm segment of the nerve was removed and immediately replaced. In Group 3 (n = 50), a 5-mm segment of nerv...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1006580
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abstract：:Twenty patients with intractable diseases in the upper extremity were treated using free vascularized fibula grafts. There were 13 men and seven women. Three patients had traumatic bone defects, five had post-traumatic nonunions, two had congenital pseudoarthroses, seven had defects after tumor resection, and three ha...
journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2007-1000131
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journal_title：Journal of reconstructive microsurgery
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abstract：BACKGROUND:Multiple studies have detailed promising smile restoration following gracilis free muscle transfer for facial reanimation but information detailing the potential complications is lacking. The aim of this study is to systematically review the literature to evaluate the reported complication rate associated wi...
journal_title：Journal of reconstructive microsurgery
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journal_title：Journal of reconstructive microsurgery
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abstract：:A case of right lower-leg replantation after 42-hr ischemia is presented. Revascularization of the other foot with circulatory decompensation after 36-hr ischemia was carried out simultaneously. The replanted lower leg survived. Following its shortening in replantation by 12 cm, right lower-leg lengthening by 8 cm was...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1006729
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abstract：BACKGROUND: The distal lower extremity poses unique reconstructive challenges due to its requirements for durability of the load-bearing plantar surface and for thin, pliable contour in the dorsal foot and ankle region. This study compares outcomes between muscle and fasciocutaneous flaps in patients with foot and ankl...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
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journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1006491
更新日期：1996-07-01 00:00:00
abstract：:During deep inferior epigastric artery perforator (DIEP) flap dissection, we noted that in many cases the superficial vein on the ipsilateral side of the flap was engorged and tense, and in others, it was empty. This led us to believe that the pressure is increased as the result of preferential outflow through the sup...
journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-0029-1243294
更新日期：2010-02-01 00:00:00
abstract：:To evaluate the root neurotization properties of extraplexal donor nerves, an avulsion injury model of brachial plexus was created and repaired by C 3,4 nerve-root transfers in the rabbit. Eighteen rabbits were divided into three groups. In Group 1 (n = 6), the right C 5,6 nerve roots were avulsed and bridged by a ner...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2003-40583
更新日期：2003-05-01 00:00:00
abstract：BACKGROUND: Osteoradionecrosis (ORN) is one of the most severe complications of free fibula reconstruction after radiotherapy. The gold standard treatment of osteomyelitis involves extensive debridement, antibiotics, and sufficiently vascularized muscle flap coverage for better circulation. Therefore, we hypothesized t...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-0040-1722647
更新日期：2021-01-31 00:00:00
abstract：:Radical resection of tongue and oropharyngeal carcinomas often results in complex defects that are challenging to reconstruct. Furthermore, remaining function should not be disturbed by the reconstruction. We introduce a new flap design and monitored swallowing and speech following reconstruction of complex oral defec...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2008-1078691
更新日期：2008-04-01 00:00:00
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journal_title：Journal of reconstructive microsurgery
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journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2002-35095
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journal_title：Journal of reconstructive microsurgery
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journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2007-1006561
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journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2007-1006596
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abstract：:A free-flap model in rats is presented, that consists of gracilis and semitendinosus muscles pedicled on the femoral vessels, in continuation with deep femoral and saphenous vessels. This flap was transferred to the contralateral side in 40 rats and yielded a 95 percent survival rate. The weight of the flaps averaged ...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1000175
更新日期：1998-05-01 00:00:00
abstract：:The etiopathology, clinical features, and treatment of carpal tunnel syndrome (CTS) in long-term hemodialyzed patients, are discussed in the light of new clinical findings. Conclusions summarizing the specific characteristics of CTS in hemodialyzed patients include the following. 1) There is a relatively equal sex rat...
journal_title：Journal of reconstructive microsurgery
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doi：10.1055/s-2007-1006856
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abstract：:The lateral forearm flap is being increasingly used for covering minor-to-moderate-sized defects for which soft and thin skin is required. Within the framework of an anatomic study carried out on 28 cadaveric arms, the authors investigated the principal artery that supplies blood to this flap namely, the posterior rad...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
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abstract：AIM:To understand the practical difficulties encountered while performing hepatic artery anastomosis by microsurgical technique in living donor liver transplantation. MATERIALS AND METHODS:We undertook a retrospective study of 10 cases of hepatic artery anastomosis done at the level of bifurcation of the right hepatic...
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abstract：:The use of growth factors in inducing angiogenesis and enhancing flap viability has provided promising results. Targeted gene therapy has evolved in hopes of increasing the longevity and effectiveness of these growth factor treatments. The purpose of this study was to examine the effect of preoperative treatment by va...
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abstract：BACKGROUND:While many potential donor sites have been described for fascial (fascia-only) flaps, a fascial flap harvested from the anterolateral thigh (ALT) donor site has not gained popularity, likely because of concerns regarding inadequate perfusion of the deep fascia. However, recent clinical experience demonstrate...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
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abstract：:Sixteen arterialized venous flaps, free flaps that have arterial blood only flowing through the vein of the flap, were applied to reconstruct skin defects of the big toe resulting from wrap-around flap transfers. There were seven complete successes, six partial successes, and three complete failures. The clinical cour...
journal_title：Journal of reconstructive microsurgery
pub_type： 杂志文章
doi：10.1055/s-2007-1006756
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