{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T17:13:21Z","timestamp":1788887601961,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T00:00:00Z","timestamp":1512604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>We present the results of a study on the anatomy of the ascending branch of the lateral circumflex femoral artery (AB\u2010LCFA) and the use of the pedicled iliac bone flap transfer perfused by AB\u2010LCFA combined with external fixation for the treatment of the nonunion of upper femoral shaft fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The orientation, diameter, length, and distribution of the AB\u2010LCFA from 40 lower limbs of adult cadavers were dissected and measured. From 2000 to 2012, 13 patients with nonunion of upper femoral shaft fractures underwent pedicled iliac bone flap transfer perfused by the AB\u2010LCFA combined with external fixation. The time of bone fracture union was recorded based on X\u2010ray examination. The functional results of the femoral shaft were evaluated by the Klemm classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The lateral circumflex femoral artery (LCFA) divided into ascending, transverse, and descending branches in 32 specimens (80%). The diameter of the AB\u2010LCFA at the origin was 3.15\u2009\u00b1\u20090.9 mm and the length of the AB\u2010LCFA was 8.51\u2009\u00b1\u20093.06 cm. The postoperative course of the procedure was uneventful in all 13 patients. The average follow\u2010up was 15 months. Bone union was achieved in all patients and the average union time was 5.3 months. 12 patients achieved excellent or good functional results based on the Klemm classification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The AB\u2010LCFA has a consistent orientation and abundant blood flow. The transfer of the iliac crest bone flap perfused by the AB\u2010LCFA while combined with external fixation could be an option for treating the nonunion of upper femoral shaft fractures.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30278","type":"journal-article","created":{"date-parts":[[2017,12,7]],"date-time":"2017-12-07T06:29:17Z","timestamp":1512628157000},"page":"882-888","source":"Crossref","is-referenced-by-count":3,"title":["Pedicled iliac crest bone flap transfer for the treatment of upper femoral shaft fracture nonunion: An anatomic study and clinical applications"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8542-5160","authenticated-orcid":false,"given":"Dewei","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Zhongshan Hospital of Dalian University Dalian People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Zhongshan Hospital of Dalian University Dalian People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tienan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Zhongshan Hospital of Dalian University Dalian People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjie","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Zhongshan Hospital of Dalian University Dalian People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baoyi","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Zhongshan Hospital of Dalian University Dalian People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Lineaweaver","sequence":"additional","affiliation":[{"name":"JMS Burn and Reconstructive Center Jackson Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,7]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318238bea7"},{"key":"e_1_2_5_3_1","first-page":"507","volume-title":"Skeletal trauma: Basic science management, and reconstruction","author":"Brinker M. 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