The vascularized iliac crest graft (VICG), although surpassed in popularity by the free vascularized fibular graft, remains a useful constituent of the orthopedic surgeon's armamentarium for the management of large bone defects and femoral head osteonecrosis.
The transfer of a VICG as a free flap was first reported in 1978 by Taylor, who utilized it as a composite flap for management of a lower extremity bone and soft tissue defect. Since then, it has been successfully employed in long bone, mandible and femoral head reconstruction.
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