Leg Morbidity and Function Following Fibular Free Flap Harvest

Shpitzer, Thomas; Neligan, Peter C.; Boyd, Brian; Gullane, Patrick; Gur, Eyal; Freeman, John F.

doi:10.1097/00000637-199705000-00005

Cited by 133 publications

(89 citation statements)

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“…Moreover, in previous reports where the donor-site morbidity was considered low or absent in most patients, the investigators used questionnaires or clinical subjective evaluations 12,[18][19][20][21][22] . Whenever possible, clinical data should be supported by quantitative instrumental evaluations allowing an objective assessment of the cost/ benefit ratio.…”

Section: Introductionmentioning

confidence: 99%

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Baj

Lovecchio

Bolzoni

et al. 2015

Journal of Oral and Maxillofacial Surgery

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Section: Introductionmentioning

confidence: 99%

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Baj

Lovecchio

Bolzoni

et al. 2015

Journal of Oral and Maxillofacial Surgery

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“…In these studies, donor-site morbidity was considered low in most of patients. [7][8][9][10][11][12][13][14][15][16][17] However, the fibula functions as the origin and insertion points of various leg and foot muscles, the detachment and injury to these muscles during various fibula harvest will inevitably affect donor leg function. Patients may not always perceive significant functional losses because of compensatory mechanisms or because they use the donor leg only for activities of low functional demand.…”

Section: Introductionmentioning

confidence: 99%

Assessment of fibula osteoseptocutaneous flap donor‐site morbidity using balance and gait test

Chou

Liao

Yazar

et al. 2009

Journal Orthopaedic Research

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To assess the functional deficits in gait and balance after fibular osteoseptocutaneous flap harvest, a case-control study in a hospital-based biomechanical laboratory was conducted. Eleven patients receiving fibula osteoseptocutaneous flaps were enrolled as study group and 10 age-matched and healthy subjects as a control group. The average postoperative period at the time of evaluation was 27.4 months (range: 10 to 68 months) and the average age at the time of evaluation was 52.1 years (range: 38 to 76 years). The balance test by Smart Balance Master and gait analysis were used for objective assessment of the donor leg function postoperatively. No statistical differences were observed in the kinetic and kinematic variables of gait analysis except double support time in both the groups. There were also no significant differences in simple static balance test (eyes open, eyes closed, swaying vision, eyes open with swaying surface, and sway-referenced vision and support). Significant differences were observed in more difficult task (eye closed with swaying support) and in the use of ankle strategy for maintaining maximum balance. In the dynamic balance test only specificity of the forward left direction determined significant difference in reaction time of movement control of gravity. The results of ankle strategy usage and dynamic balance indicated deficits of ankle muscle torque. Necessary postoperative physical training is required for ankle muscle torque and vestibular sense.

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“…It is used particularly to reconstruct massive bone defects (greater than 10 cm) after tumor excision [4,9,11,16]. Donor-site morbidity has been reported as a consequence of VFG harvesting [3,10,25,32,36] but generally is considered acceptable when weighed against the potential benefits [8,36]. However, nontraumatic fractures of the donor-side tibia are still reported although as single sporadic cases [7,18,20,29,40,41].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the fact that several studies qualitatively described evolution of the donor-side leg after VFG [1,3,10,25,32,36], these did not quantitatively describe adaptation of the donor-side tibia. Questionnaire results [1,3,30,36], disability scales [1,10,25], or gait analyses [3,25] have been reported in some studies, and disabilities such as pain, ankle instability, and inability to run have been described [1,3,10,18,25,30,32,36].…”

Section: Introductionmentioning

confidence: 99%

“…Questionnaire results [1,3,30,36], disability scales [1,10,25], or gait analyses [3,25] have been reported in some studies, and disabilities such as pain, ankle instability, and inability to run have been described [1,3,10,18,25,30,32,36]. Other studies have attempted quantitative analyses of long-term side effects based on radiographs [2,10,14,28,30].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tibia Adaptation after Fibula Harvesting: An in Vivo Quantitative Study

Taddei

Balestri

Rimondi

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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Absence of the fibula after harvesting to reconstruct an upper-limb segment increases loads on the donor-side tibia and thereby provides a unique opportunity to analyze the bone adaptation process in humans. We therefore quantified densitometric and morphologic changes of the donor-side tibia in three young patients (ages 8, 13, 16 years), on the basis of computed tomography (CT) examinations of both legs (one preoperatively and two postoperatively). The range of final followup was 27-43 months. Three-dimensional models of shank bones were generated from CT data and used to measure crosssectional area, diaphyseal cortical thickness, and crosssectional moment of inertia. In addition, density of the newly formed bone was evaluated. The donor-side tibia showed morphologic and density adaptation with time.

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Leg Morbidity and Function Following Fibular Free Flap Harvest

Cited by 133 publications

References 0 publications

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study

Assessment of fibula osteoseptocutaneous flap donor‐site morbidity using balance and gait test

Tibia Adaptation after Fibula Harvesting: An in Vivo Quantitative Study

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