Superficial Circumflex Iliac Artery Perforator Flap for the Coverage of Limb Defects

  • Sebastián Emiliano Valbuena Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina https://orcid.org/0000-0002-0209-1554
  • Emanuel Fernando Pereira Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina https://orcid.org/0000-0001-8096-4114
  • Braian Nicolás Conde Orthopedics and Traumatology Service, Hospital “Dr. Alejandro Korn”, Melchor Romero, Buenos Aires, Argentina https://orcid.org/0000-0002-4504-5128
Keywords: Perforator flap, SCIP, circunflex iliac superficial artery, perforosome, inguinal

Abstract

The superficial circumflex iliac artery perforator (SCIP) flap is a thin, pliable, and versatile flap used mainly for extremities and head and neck reconstruction. Materials and methods: We presented 3 cases of SCIP flap reconstructions. Two pediatric cases for the reconstruction of traumatic sequelae of the hand and dorsal foot. One adult case for the reconstruction of a severe burn of the dorsal hand. Conclusion: The SCIP flap is ideal for the reconstruction of the dorsal aspect of the hand, foot, and flexion crease. Despite the anatomical variations in the origin of the superficial circumflex iliac artery, the use of microsurgical techniques and super-microsurgery allows safe harvesting of a thin flap of moderate to large dimensions, with low morbidity in the donor area.

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Author Biographies

Sebastián Emiliano Valbuena, Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina
Upper limb surgery. Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina
Emanuel Fernando Pereira, Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital El Cruce Alta Complejidad en Red “Dr. Néstor C. Kirchner”, Florencio Varela, Buenos Aires, Argentina
Braian Nicolás Conde, Orthopedics and Traumatology Service, Hospital “Dr. Alejandro Korn”, Melchor Romero, Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital “Dr. Alejandro Korn”, Melchor Romero, Buenos Aires, Argentina

References

McGregor IA, Jackson IT. The groin flap. Br J Plast Surg 1972;25(1):3-16. https://doi.org/10.1016/s0007-1226(72)80003-1

Daniel RK, Taylor GI. Distant transfer of an island flap by microvascular anastomoses: A clinical technique. Plast

Reconstr Surg 1973;52(2):111-7. https://doi.org/10.1097/00006534-197308000-00001

Koshima I, Nanba Y, Tsutsui T, Takahashi Y, Urushibara K, Inagawa K, et al. Superficial circumflex iliac artery

perforator flap for reconstruction of limb defects. Plast Reconstr Surg 2004;113(1):233-40. https://doi.org/10.1097/01.PRS.0000095948.03605.20

Kim JT, Kim SW. Perforator flap versus conventional flap. J Korean Med Sci 2015;30(5):514-22.

https://doi.org/10.3346/jkms.2015.30.5.514

Saint-Cyr M, Wong C, Schaverien M, Mojallal A, Rohrich RJ. The perforasome theory: vascular anatomy and

clinical implications. Plast Reconstr Surg 2009;124(5):1529-44. https://doi.org/10.1097/PRS.0b013e3181b98a6c

Hong JP, Choi DH, Suh H, Mukarramah DA, Tashti T, Lee K, et al. A new plane of elevation: the superficial fascial

plane for perforator flap elevation. J Reconstr Microsurg 2014;30(7):491-6. https://doi.org/10.1055/s-0034-1369807

Jeong HH, Hong JP, Suh HS. Thin elevation: A technique for achieving thin perforator flaps. Arch Plast Surg

;45(4):304-13. https://doi.org/10.5999/aps.2017.01529

del Piñal F, García-Bernal FJ, Studer A, Ayala H, Cagigal L, Regalado J. Super-thinned iliac flap for major defects

on the elbow and wrist flexion creases. J Hand Surg Am 2008;33(10):1899-1904. https;//doi.org/10.1016/j.jhsa.2008.09.023

Kim JH, Kim KN, Yoon CS. Reconstruction of moderate-sized distal limb defects using a superthin superficial

circumflex iliac artery perforator flap. J Reconstr Microsurg 2015;31(9):631-5. https://doi.org/10.1055/s-0035-1558959

Suh HS, Jeong HH, Choi DH, Hong JP. Study of the medial superficial perforator of the superficial circumflex

iliac artery perforator flap using computed tomographic angiography and surgical anatomy in 142 patients. Plast

Reconstr Surg 2017;139(3):738-8. https://doi.org/10.1097/PRS.0000000000003147

Nam YS, Han SH, Paik DJ. Morphometrics of arterial supply for superficial circumflex iliac artery flap in Koreans. Korean Journal of Physical Anthropology 2006;19(1):111. https://doi.org/10.11637/kjpa.2006.19.1.1

Del Sol M, Vasquez B. Arteria circunfleja iliaca superficial. Importancia anátomo quirúrgica. Int J Morphol

;31(2):629-32. https://doi.org/10.4067/S0717-95022013000200046

Yoshimatsu H, Steinbacher J, Meng S, Hamscha UM, Weninger WJ, Tinhofer IE, et al. Superficial circumflex iliac

artery perforator flap: An anatomical study of the correlation of the superficial and the deep branches of the artery and evaluation of perfusion from the deep branch to the sartorius muscle and the iliac bone. Plast Reconstr Surg 2019;143(2):589-602. https://doi.org/10.1097/PRS.0000000000005282

Koshima I, Nanba Y, Nagai A, Nakatsuka M, Sato T, Kuroda S. Penile reconstruction with bilateral superficial

circumflex iliac artery perforator (SCIP) flaps. J Reconstr Microsurg 2006;22(3):137-42. https://doi.org/10.1055/s-2006-939957

Sinna R1, Hajji H, Qassemyar Q, Perignon D, Benhaim T, Havet E. Anatomical background of the perforator

flap based on the deep branch of the superficial circumflex iliac artery (SCIP Flap): a cadaveric study. Eplasty

;10:11. PMID: 20090859

Goh TL, Park SW, Cho JY, Choi JW, Hong JP. The search for the ideal thin skin flap: superficial circumflex iliac

artery perforator flap--a review of 210 cases. Plast Reconstr Surg 2015;135(2):592-601. https://doi.org/10.1097/PRS.0000000000000951

Published
2021-12-16
How to Cite
Valbuena, S. E., Pereira, E. F., & Conde, B. N. (2021). Superficial Circumflex Iliac Artery Perforator Flap for the Coverage of Limb Defects. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 812-820. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1035
Section
Case Presentations