Maintaining the anterior superior iliac spine (ASIS) and inguinal ligament attachment in harvesting the vascularised iliac crest free flap with internal oblique: When I read the method of the above paper in detail it seemed likely that the ASIS would be included for <9cm and >9cm bone lengths as described by Taylor1 although this was not clearly stated. As a result I was not surprised that the pain score for longer defects was higher (6.71 v 4.64, p value not included, Table 1), the time to walking (6.64 v 4.72 weeks p value 0.002, Table 2) longer, as well as abnormality of the donor site (very abnormal >9cm 13/27(48%) v <9cm 6/35(17%), Table 5) greater.
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