Use of an Adipofascial Superficial Circumflex Iliac Artery Perforator Flap to Improve Contour Following Resection of Upper Extremity Amniotic Band Constriction: A Report of Two Patients

• Published in: The Journal of Hand Surgery Asian-Pacific Volume Vol. 27; no. 1; pp. 183 - 186
• Main Authors: Mallarino, Gonzalo, Foti-Barreto, José Rodrigo, Gutierrez, Carlos David, Romero-Barreto, Camilo
• Format: Journal Article
• Language: English
• Published: Singapore World Scientific Publishing Co. Pte., Ltd 01.02.2022
• Subjects: Amniotic Band Syndrome - surgery; Constriction; Humans; Iliac Artery - surgery; Infant, Newborn; Perforator Flap - blood supply; Perforator Flap - surgery; Reconstructive Surgical Procedures - methods; Soft tissues; Upper Extremity - surgery; Amniotic band syndrome; Constriction band; Superficial circumflex iliac artery flap; Congenital; Perforators
• ISSN: 2424-8355; 2424-8363; 1793-6535
• DOI: 10.1142/S2424835522720080

Amniotic band syndrome (ABS) is a congenital disease that causes a variable degree of deformity and tissue disruption. Surgical excision of fibrotic tissue and advancement of local flaps is the gold standard for constriction bands of the upper limb. We report the use of an adipofascial Superficial Circumflex Iliac Artery perforator (SCIP) flap to improve contour following amniotic band resection in the upper extremity in two patients with ABS. The use of this microsurgical technique can be considered in the occasional patient when there is a deficit of soft tissues after release of the contracture band that cannot be addressed with locally available tissue.