Single centre experience with the superficial circumflex iliac artery perforator (SCIP) flap for traumatic limb defects: A case-series for first year as a regional major trauma network during a global pandemic

Li, Zhong; Ali, Stephen R; Marsden, Nicholas; Emam, Ahmed

doi:10.1016/j.orthop.2022.06.005

Cited by 2 publications

(1 citation statement)

References 14 publications

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“…The flap was first described by Koshima et al 9 in 2004 for extremity reconstruction in general. Groups from Korea, China, and Japan, such as those from Li et al 13,14 and Lee et al, 15 present a series of various sizes with detailed descriptions of the SCIP flap being successfully used for hand reconstruction. However, the average BMI in these patients is much lower than that seen in the United States, as demonstrated by well-described trends in obesity and populations.…”

Section: Discussionmentioning

confidence: 99%

The Superficial Circumflex Iliac Artery Perforator Flap for Devastating Hand Injuries in Obese Patients

Jain,

Bingham,

Goldberg

2023

Ann Plast Surg

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Introduction Blast injuries to the hand, such as those from fireworks, are debilitating and life altering. Often, because of the nature of the injury, there is a need for soft tissue and skin coverage. However, in the increasingly obese American population, free flaps often are too bulky for functional hand coverage. In this study, we present a series of 7 patients who underwent the superficial circumflex iliac artery perforator (SCIP) flap for upper extremity reconstruction with improvement in cosmesis, including a primarily repaired donor site, as well as an overwhelmingly high return to work with minimal revision surgery necessary. Methods All patients who underwent a SCIP for hand injuries from a blast were included. Flaps were harvested based on previously described methods. A single attending surgeon performed all surgeries. All patients were followed for at least 6 months. Preoperative and postoperative characteristics were described. Results A total of 7 patients were included in this study. Ages ranged from 16 to 58 years and body mass index from 19 to 48 kg/m2. More than half of the patients had a body mass index greater than 30 kg/m2. All donor sites were primarily closed. Five patients returned to their preinjury work. Three patients had neurotized flaps with return of protective sensation. Three patients required revision surgery; all 3 had liposuction, and 1 had additional flap advancement surgery. Conclusion The SCIP flap is a versatile flap that can be used in hand reconstruction in blast injuries with good functional outcome and improved cosmesis compared with other perforator flaps for the upper extremity.

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