Acta Chir Plast. 2022 Spring;64(1):39-43. doi: 10.48095/ccachp202239.
Reconstruction of upper and lower extremity defects can be challenging. Especially in distal parts, relatively thin flaps are needed not to interfere with the function or aesthetic appearance of the extremity. The superficial circumflex iliac artery perforator (SCIP) flap represents a powerful but still not so commonly used tool for this kind of reconstruction. In this article, we present several cases of the use of the SCIP flap for extremity defect coverage.
We present five cases (three men and two women) of upper or lower extremities defect coverage with a SCIP flap performed between January and June 2021 at our department. The mean age of the patients was 43 years (28-67 years). The body mass index was 28.6 on average. Two defects were located on hands and three defects on lower extremities. In three cases, the cause of the defect was trauma, and in the remaining two, it was a tumor resection. The mean thickness of the flap was 9.4 mm. We experienced no total flap loss and no revision surgery for ischemia or congestion was needed. One of the patients developed marginal flap necrosis, which was corrected by necrectomy and direct skin closure.
Our case series demonstrates the possible use of the SCIP flap in the reconstruction of upper and lower extremities. With its thinness, low donor-site morbidity, and ease of harvest, we recommend the SCIP flap to be considered as one of the primary reconstructive options for various extremities defects.
上肢和下肢缺损的重建可能具有挑战性。特别是在远端部位，需要使用相对较薄的皮瓣，以免影响肢体的功能或美观。旋髂浅动脉穿支皮瓣（SCIP）是一种强大但尚未广泛应用于此类重建的工具。本文介绍了使用 SCIP 皮瓣修复肢体缺损的几个病例。
我们在 2021 年 1 月至 6 月期间在我科对 5 例（3 名男性和 2 名女性）上肢或下肢缺损患者进行了 SCIP 皮瓣修复。患者的平均年龄为 43 岁（28-67 岁）。平均 BMI 为 28.6。2 个缺损位于手部，3 个缺损位于下肢。3 例缺损的原因为创伤，2 例为肿瘤切除。皮瓣的平均厚度为 9.4mm。我们未发生全部皮瓣坏死，也无需进行缺血或淤血的修正手术。1 例患者出现边缘皮瓣坏死，经清创和直接皮肤缝合修复。
我们的病例系列表明，SCIP 皮瓣可用于上肢和下肢的重建。由于其皮瓣较薄、供区损伤小且易于获取，我们建议将 SCIP 皮瓣作为各种肢体缺损的主要重建选择之一。
