[Pedicled osteocutaneous groin flap in the compound reconstruction procedures of the fingers]

The paper presents the authors own experiences with pedicled oseocutaneous groin flaps based on superficial circumflex iliac vessels with a vascularized bone graft (size ranging from 2.5 cm to 5 cm) from the ilium. Eight patients, 7 males and 1 female, (aged 9-46 years, mean age 24 years) were treated using this method because a bone defect of the first metacarpal bone or the middle phalanx of the III finger. The flap pedicle was cut off after 17-36 days. Treatment was successful in all patients, although complications of the healing process were noted in 7 flaps. In 5 cases an inflammatory reaction around the sutures or superficial necrosis of the skin was observed. In two cases extensive infection of the flap's tissues was noted which in one case lead to partial necrosis of the soft tissues.