Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction
Abstract Objectives This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multi-digit skin and soft tissue reconstruction in pediatric patients. Methods A total o...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-06-01
|
| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01733-3 |
| _version_ | 1818002064092954624 |
|---|---|
| author | Zhangcan Li Dawei Zheng Jian Zheng Weiya Qi Qiang Qi Yunyun Liu |
| author_facet | Zhangcan Li Dawei Zheng Jian Zheng Weiya Qi Qiang Qi Yunyun Liu |
| author_sort | Zhangcan Li |
| collection | DOAJ |
| description | Abstract Objectives This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multi-digit skin and soft tissue reconstruction in pediatric patients. Methods A total of 7 pediatric patients who were being treated with free single-pedicle bilobed SCIP flap reconstruction for multi-digit defects were included in this study. The details of the clinical features were collected, and the following were successively analyzed: the preoperative computed tomographic angiography (CTA) and color Doppler sonography (CDS) examinations for flap design, the intraoperative anatomy for perforator vessel, defect reconstruction and interphalangeal range of motion (ROM) and tactile sense, pain sense, and two-point discrimination recovery results. Results CTA and CDS performed preoperatively could accurately and rapidly identify the position, location and course of the superficial circumflex iliac artery perforator. All wounds healed by the first follow-up and no complications occurred at the follow-up visit. All flaps survived, the patients achieved proximal interphalangeal joint (PIP) ranges of motions (ROM) from 80 to 100° and distal interphalangeal joint (DIP) ROM from 65 to 80°. The tactile sense and pain sense recovered, and average of the two-point discrimination scores was 9.3 mm (range 7–12 mm). The donor area was primarily sutured with a tidy scar in the underwear region. Conclusion CTA and CDS performed preoperatively are accurate and intuitive methods for assessing the location and course of SCIP. The SCIP flap is suitable for pediatric patients due to its small vessel caliber, specific functional and esthetic benefits. It can be designed in a lobulated fashion in order to repair two or more wounds during one surgery. We suggest that the free single-pedicle bilobed SCIP flap should be considered a good option choice for multi-digit defect reconstruction in pediatric patients in the clinic. |
| first_indexed | 2024-04-14T03:41:12Z |
| format | Article |
| id | doaj.art-223db2bc411c49d1b05691efb5173186 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T03:41:12Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-223db2bc411c49d1b05691efb51731862022-12-22T02:14:30ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-06-011511610.1186/s13018-020-01733-3Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstructionZhangcan Li0Dawei Zheng1Jian Zheng2Weiya Qi3Qiang Qi4Yunyun Liu5Department of Hand Microsurgery, Xuzhou Renci HospitalDepartment of Hand Microsurgery, Xuzhou Renci HospitalDepartment of Hand Microsurgery, Xuzhou Renci HospitalDepartment of Hand Microsurgery, Xuzhou Renci HospitalDepartment of Hand Microsurgery, Xuzhou Renci HospitalDepartment of Gynecology, Xuzhou Maternal & Child Health Care HospitalAbstract Objectives This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multi-digit skin and soft tissue reconstruction in pediatric patients. Methods A total of 7 pediatric patients who were being treated with free single-pedicle bilobed SCIP flap reconstruction for multi-digit defects were included in this study. The details of the clinical features were collected, and the following were successively analyzed: the preoperative computed tomographic angiography (CTA) and color Doppler sonography (CDS) examinations for flap design, the intraoperative anatomy for perforator vessel, defect reconstruction and interphalangeal range of motion (ROM) and tactile sense, pain sense, and two-point discrimination recovery results. Results CTA and CDS performed preoperatively could accurately and rapidly identify the position, location and course of the superficial circumflex iliac artery perforator. All wounds healed by the first follow-up and no complications occurred at the follow-up visit. All flaps survived, the patients achieved proximal interphalangeal joint (PIP) ranges of motions (ROM) from 80 to 100° and distal interphalangeal joint (DIP) ROM from 65 to 80°. The tactile sense and pain sense recovered, and average of the two-point discrimination scores was 9.3 mm (range 7–12 mm). The donor area was primarily sutured with a tidy scar in the underwear region. Conclusion CTA and CDS performed preoperatively are accurate and intuitive methods for assessing the location and course of SCIP. The SCIP flap is suitable for pediatric patients due to its small vessel caliber, specific functional and esthetic benefits. It can be designed in a lobulated fashion in order to repair two or more wounds during one surgery. We suggest that the free single-pedicle bilobed SCIP flap should be considered a good option choice for multi-digit defect reconstruction in pediatric patients in the clinic.http://link.springer.com/article/10.1186/s13018-020-01733-3Iliac arteryPerforator flapPediatricsReconstructive surgical proceduresFinger injuries |
| spellingShingle | Zhangcan Li Dawei Zheng Jian Zheng Weiya Qi Qiang Qi Yunyun Liu Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction Journal of Orthopaedic Surgery and Research Iliac artery Perforator flap Pediatrics Reconstructive surgical procedures Finger injuries |
| title | Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction |
| title_full | Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction |
| title_fullStr | Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction |
| title_full_unstemmed | Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction |
| title_short | Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction |
| title_sort | free superficial circumflex iliac artery perforator flap with a single pedicle bilobed design for pediatric multi digit defect reconstruction |
| topic | Iliac artery Perforator flap Pediatrics Reconstructive surgical procedures Finger injuries |
| url | http://link.springer.com/article/10.1186/s13018-020-01733-3 |
| work_keys_str_mv | AT zhangcanli freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction AT daweizheng freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction AT jianzheng freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction AT weiyaqi freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction AT qiangqi freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction AT yunyunliu freesuperficialcircumflexiliacarteryperforatorflapwithasinglepediclebilobeddesignforpediatricmultidigitdefectreconstruction |