The vascularized iliac crest bone graft: An often forgotten long bone alternative-Now remembered a half-century later.
Publication/Presentation Date
11-1-2025
Abstract
PURPOSE: For long bone large segmental defects, and especially for the tibia, the vascularized fibula osseous flap has been proven around the world to be the ideal and reliable solution. Yet if congenital, traumatic, oncologic, anatomical anomalies or even aesthetic reasons preclude this choice, a second tier alternative that is also reliable need be considered.
METHOD: A unique 40
RESULT: A composite free groin flap and vascularized iliac crest bone graft pedicled by the deep circumflex iliac vessels proved to be a reasonable solution for a concomitant large lower limb soft tissue deficiency and tibial segmental defect. Now for more than 40 years the patient has retained a functional limb with no restrictions in ambulatory prowess.
CONCLUSION: Over the past half-century, numerous donor sites for vascularized bone grafts have been identified. Some are primarily cortical, some cancellous; some tubular, some convoluted; some minute, some gargantuan; some rarely used, some often. Depending on the circumstances, a vascularized iliac crest bone graft can be a potential alternative where here demonstrated extremely long term success can be expected. This alternative should not be overlooked as a potential solution for what otherwise can be a demanding dilemma.
Volume
17
Issue
6
First Page
100334
Last Page
100334
ISSN
0974-3227
Published In/Presented At
Hallock G. G. (2025). The vascularized iliac crest bone graft: An often forgotten long bone alternative-Now remembered a half-century later. Journal of hand and microsurgery, 17(6), 100334. https://doi.org/10.1016/j.jham.2025.100334
Disciplines
Medicine and Health Sciences
PubMedID
40842556
Department(s)
Department of Surgery
Document Type
Article