Use of free sensate SCIA flap for reconstruction of distal limb defects of moderate size.

摘要: Summary Recent attempts have been made to direct the sensory neurotisation of free superficial circumflex iliac artery (SCIA) flaps. However, donor nerves enabling recovery are limited. We report our findings in fifteen patients who underwent distal limb defect reconstruction using a sensate SCIA flap, including lateral cutaneous branch subcostal nerve (LCSN), between August 2017 and September 2018. The distance from anterosuperior spine point where LCSN crossed crest ranged 6.5 10 cm. diameter 1.5 4.0 mm. flap size 8 × 4 13 × 10 cm2. All flaps survived uneventfully. Tests modalities, Semmes-Weinstein (SW) touch, vibration, pinprick, temperature static two-point discrimination (s2PD) tests were applied nine regions each post-operatively. One or more modalities present at least one region 6 months post-operatively, vibration perception was consistent than that SW touch pinprick perception. s2PD noted 4 cases over follow-up period 12 months. A reliable with can be considered as an attractive option for defects moderate size.