Superiority of the Deep Circumflex Iliac Vessels as the Supply for Free Groin Flaps Clinical Work

Taylor, G. Ian; Townsend, P.L.G.; Corlett, Russell J.

doi:10.1097/00006534-197912000-00001

Cited by 443 publications

(142 citation statements)

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“…In this way, it has been possible to use the "cross-leg free flap," first described by Taylor et al in 1979, to repair skin and bone defects in the lower leg with a free osteocutaneous flap. 11 Various successful results have been published using the cross-leg method. [19][20][21][22][23][24][25][26][27][28][29][30] Yu et al published an 85-case series using the cross-bridge method and reported a success rate of 95.29%.…”

Section: Discussionmentioning

confidence: 99%

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Reconstruction of the Lower Extremity with Cross-Leg Free Flaps

Özkan

Cinpolat

Bektas

et al. 2016

J Reconstr Microsurg Open

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Background?The absence of suitable adjacent recipient vessels for microvascular anastomosis due to trauma poses a major challenge to the reconstructive surgeon. The anterior and posterior tibial vessels of the contralateral leg are the two other alternatives for use as recipient vessels for microvascular anastomosis. This method is known as the cross-leg free flap. Methods?Twenty-seven patients (20 males, 7 females) underwent cross-leg free flap operations due to absence of a suitable adjacent recipient vessel between 2007 and 2015. The mean soft tissue defect dimension was 12???11 cm (smallest: 6???7 cm; largest: 20 ?14 cm). Gustilo type 3B tibia fractures were present in 19 patients, but no fractures were present in the other 8. Six different flaps were used: 14 anterolateral thigh flaps, 6 latissimus dorsi flaps, 3 gracilis muscle flaps, 2 vastus lateralis musculocutaneous flaps, 1 tensor fascia latae flap, and 1 deep inferior epigastric perforator flap. Results?Two anterolateral thigh flaps failed, while the rest of the flaps survived completely. There were no donor-site complications. Conclusion?We think that the cross-leg free flap method can be safely and successfully used with all flap types in complex lower extremity injuries in which the adjacent recipient vessel option is unavailable.

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Section: Discussionmentioning

confidence: 99%

“…That was the first report to demonstrate that the vascular pedicle of the free flap can be anastomosed to the recipient vessels in the contralateral leg and then divided after adequate neovascularization of the flap. 11 Subsequent researchers have reported Keywords ► cross-leg ► lower extremity reconstruction ► vein grafts…”

mentioning

confidence: 99%

Reconstruction of the Lower Extremity with Cross-Leg Free Flaps

Özkan

Cinpolat

Bektas

et al. 2016

J Reconstr Microsurg Open

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“…The vascularized iliac crest free flap based on the deep circumflex iliac artery has become a useful option for microsurgical reconstruction of the mandible (Taylor et al, 1979a;Taylor et al, 1979b;Franklin et al, 1980;Kang et al, 2008). It offers a good length of thick, strong, tall bone that is of sufficient stock to support an osseointegrated implant within a reasonable shape match for the hemimandible.…”

Section: Review Of Vascularized Osseous Flaps ⅰ) Iliac Crest Flapmentioning

confidence: 99%

Mandibular Reconstruction with Vascularized Osseous Free Flaps: a Review of the Literature

Kim

Nam

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Purpose: This article reviews a few of the commonly used types of vascularized osseous free flaps in maxillofacial reconstruction, which still represents the gold standard of restoration. We also discuss the developing concepts in maxillofacial reconstruction. Recent findings: Most of the literature reconfirms the established patterns of reconstruction with the aid of vascularized osseous free flaps. This method of freetissue transfer is also feasible in cases of osteoradionecrosis or bisphosphonate-related osteonecrosis of the jaw. These flaps are also suitable for prosthetic restoration using osseointegrated dental implants. Summary: Vascularized osseous free flaps still remain the standard of care. Improvements upon the free-tissue transfer method employing vascularized osseous free flaps, such as distraction osteogenesis, tissue engineering, and imaging techniques, currently require further development, but these technologies could lead to improved outcomes of maxillofacial reconstruction in the near future.

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“…The free flap will survive based on neovascularization from the wound. This modification of a free flap pedicle was first described by Taylor et al (12), with a free osteocutaneous groin flap anastomosed to the posterior tibial vessels of the opposite leg for a compound leg defect. There have been numerous reports (13-16) describing cross-leg free flaps for lower extremity wounds for both soft tissue and bony defects when there is inadequate vasculature in the affected limb.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Alternative techniques for pedicle transfer of an island flap and a free flap

Classen¹

2005

CAN J PLAST SURG

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Superiority of the Deep Circumflex Iliac Vessels as the Supply for Free Groin Flaps Clinical Work

Cited by 443 publications

References 0 publications

Reconstruction of the Lower Extremity with Cross-Leg Free Flaps

Reconstruction of the Lower Extremity with Cross-Leg Free Flaps

Mandibular Reconstruction with Vascularized Osseous Free Flaps: a Review of the Literature

Alternative techniques for pedicle transfer of an island flap and a free flap

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