ABSTRACT
Although free vascularized iliac bone graft has been successfully used for the reconstruction
of large bone defect with microvascular surgery, there is a serious problem of how
to repair in one-stage, those cases having a large bone defect with a very wide skin
defect. A free combined anterolateral flap and vascularized iliac bone graft with
double vascular pedicles seems to be a most suitable method for cases having both
large bone and skin defects. Two case reports are presented in which this flap was
used. Based on the authors' cases, the advantages of this flap are its thinness and
the extreme wideness of the skin territory. The anatomy of the pedicle vessels is
large and long, and the donor scar can be made in an unexposed area. This flap can
be considered for use in one-stage reconstructions of both large bone and skin defects
in the oral and leg regions.
