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Evaluation of long‐term functional donor‐site morbidity after deep circumflex iliac crest artery bone flap harvest
- Source :
- Microsurgery. 39:304-309
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- Purpose Free flap surgery can be associated with donor-site morbidity. The purpose of this study was to analyze long-term functional outcomes at the donor site after deep circumflex iliac artery (DCIA) bone flap harvesting. Methods Fourteen patients (8 men and 6 women, mean age 53.9 years; range 22-87 years) with mandible resection (8 carcinomas, 4 ameloblastomas, 1 osteonecrosis, and 1 myxofibroma) and DCIA flap reconstruction were included in an observational study. Ranges of motion in the hip and lumbar spine, Harris hip score (HHS), jumping mechanography, chair rising, and balance testing were performed on a ground force reaction plate (Leonardo Mechanograph, Novotec Medical GmbH, Germany). The primary outcome was the Esslinger fitness index (EFI, maximum peak power in W/kg normalized to age and gender). Results Functional assessment was performed preoperatively and 29.0 months postoperatively (range 12-51 months). Mean DCIA flap length was 6.3 cm (range 3.3-10.1 cm). Jaw reconstruction was successful in all cases. HHS (99.2 vs. 97.7 points, P = .004) and all ranges of motion in the lumbar spine and hip joint except for dorsal extension were significantly reduced postoperatively (range -4° to -11.0°). There was no significant difference between pre- and postoperative EFI (77.9% vs. 74.28%, P = .591) and body sway (1.25 cm2 vs. 2.01 cm2 , P = .806). Sensory deficits (n = 5), load dependent pain (n = 3), and limitations of daily activities (n = 3) were subjective complaints. Conclusion Functional donor site morbidity after DCIA harvesting can be expected to be low in the long-term.
- Subjects :
- Adult
Male
medicine.medical_specialty
Fibroma
030230 surgery
medicine.disease_cause
Free Tissue Flaps
Iliac Artery
Transplant Donor Site
Iliac crest
Ameloblastoma
Ilium
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Jumping
medicine.artery
medicine
Humans
Mandibular Diseases
Circumflex
Aged
Balance (ability)
Aged, 80 and over
Bone Transplantation
business.industry
Carcinoma
Osteonecrosis
Mandible
Deep circumflex iliac artery
Middle Aged
Surgery
Mandibular Neoplasms
medicine.anatomical_structure
Harris Hip Score
030220 oncology & carcinogenesis
Tissue and Organ Harvesting
Female
Composite Tissue Allografts
business
Follow-Up Studies
Artery
Subjects
Details
- ISSN :
- 10982752 and 07381085
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Microsurgery
- Accession number :
- edsair.doi.dedup.....16a74debeef6686a95fbb0831a8353e7