Heterotopic ossification – A rare donor site complication after iliac crest free flap
Summary: Iliac crest free flap is still essential as a source of vascularized bone tissue, having a definite role in osseous reconstruction of the face and other small bone defects. Some of its drawbacks include laborious dissection and donor site morbidity. We report a case of a patient that presen...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587823000797 |
| _version_ | 1827338882418475008 |
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| author | Filipa Poleri Jorge Correia-Pinto Larissa Lanzaro Rui Casimiro Bruno Morgado Horácio Costa |
| author_facet | Filipa Poleri Jorge Correia-Pinto Larissa Lanzaro Rui Casimiro Bruno Morgado Horácio Costa |
| author_sort | Filipa Poleri |
| collection | DOAJ |
| description | Summary: Iliac crest free flap is still essential as a source of vascularized bone tissue, having a definite role in osseous reconstruction of the face and other small bone defects. Some of its drawbacks include laborious dissection and donor site morbidity. We report a case of a patient that presented to our follow-up consultation ten years after iliac crest free flap harvest with new complaints of pain, gait disturbance and swelling in the right hip. Imaging exams revealed a heterotopic bone formation and helped with the diagnosis of heterotopic ossification (HO) of the right iliacus bone. Surgical intervention was needed for debridement of the heterotopic bone, with resolution of the symptoms. To our knowledge, this is the first report of HO after iliac crest free flap harvest. This rare condition adds to an already well-known number of donor zone complications of this flap. Plastic surgeons should be aware of this complication, as it can cause disability many years after the original surgery. |
| first_indexed | 2024-03-07T19:42:00Z |
| format | Article |
| id | doaj.art-df6e51a02b004e9c846b7ffbc847ca6f |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-03-07T19:42:00Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-df6e51a02b004e9c846b7ffbc847ca6f2024-02-29T05:19:30ZengElsevierJPRAS Open2352-58782024-03-01392326Heterotopic ossification – A rare donor site complication after iliac crest free flapFilipa Poleri0Jorge Correia-Pinto1Larissa Lanzaro2Rui Casimiro3Bruno Morgado4Horácio Costa5Centro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, Portugal; Corresponding author at: Adress: Rua Dom António Ferreira Gomes 289.Centro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, PortugalCentro Hospitalar de Vila Nova de Gaia/Espinho Serviço de Cirurgia Plástica Reconstrutiva, Craniomaxilofacial e Mão; Unidade de Microcirurgia. Centro Hospitalar Vila Nova de Gaia/Espinho, Rua Conceição Fernandes S/N, 4434-502, Vila Nova de Gaia, Portugal; University of Aveiro, PortugalSummary: Iliac crest free flap is still essential as a source of vascularized bone tissue, having a definite role in osseous reconstruction of the face and other small bone defects. Some of its drawbacks include laborious dissection and donor site morbidity. We report a case of a patient that presented to our follow-up consultation ten years after iliac crest free flap harvest with new complaints of pain, gait disturbance and swelling in the right hip. Imaging exams revealed a heterotopic bone formation and helped with the diagnosis of heterotopic ossification (HO) of the right iliacus bone. Surgical intervention was needed for debridement of the heterotopic bone, with resolution of the symptoms. To our knowledge, this is the first report of HO after iliac crest free flap harvest. This rare condition adds to an already well-known number of donor zone complications of this flap. Plastic surgeons should be aware of this complication, as it can cause disability many years after the original surgery.http://www.sciencedirect.com/science/article/pii/S2352587823000797Iliac crestFree flapHeterotopic ossificationMicrosurgery |
| spellingShingle | Filipa Poleri Jorge Correia-Pinto Larissa Lanzaro Rui Casimiro Bruno Morgado Horácio Costa Heterotopic ossification – A rare donor site complication after iliac crest free flap JPRAS Open Iliac crest Free flap Heterotopic ossification Microsurgery |
| title | Heterotopic ossification – A rare donor site complication after iliac crest free flap |
| title_full | Heterotopic ossification – A rare donor site complication after iliac crest free flap |
| title_fullStr | Heterotopic ossification – A rare donor site complication after iliac crest free flap |
| title_full_unstemmed | Heterotopic ossification – A rare donor site complication after iliac crest free flap |
| title_short | Heterotopic ossification – A rare donor site complication after iliac crest free flap |
| title_sort | heterotopic ossification a rare donor site complication after iliac crest free flap |
| topic | Iliac crest Free flap Heterotopic ossification Microsurgery |
| url | http://www.sciencedirect.com/science/article/pii/S2352587823000797 |
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