A critical assessment of the fibula flap donor site

ABSTRACT Background The free fibula flap has become popular for mandibular reconstruction. The purpose of this study was to propose comprehensive functional assessments of the donor site. Methods Thirty free fibula flaps for mandible reconstruction were prospectively enrolled in the study. Objective...

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Bibliographic Details
Published in:Head & neck 2017-02, Vol.39 (2), p.279-287
Main Authors: Xu, Zhong‐Fei, Bai, Shuang, Zhang, Zhi‐Qiang, Duan, Wei‐Yi, Wang, Zhi‐Qiang, Sun, Chang‐Fu
Format: Article
Language:English
Subjects:
Adult
Aged
assessment
Bone Transplantation - adverse effects
Bone Transplantation - methods
China
Cohort Studies
donor site
Electromyography - methods
Female
Fibula - blood supply
Fibula - transplantation
fibula flap
Follow-Up Studies
free flap
Free Tissue Flaps - blood supply
Free Tissue Flaps - transplantation
Hospitals, University
Humans
isokinetic test
Male
Mandibular Neoplasms - pathology
Mandibular Neoplasms - surgery
Mandibular Reconstruction - adverse effects
Mandibular Reconstruction - methods
Middle Aged
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
Retrospective Studies
Risk Assessment
Time Factors
Tissue and Organ Harvesting - methods
Transplant Donor Site - physiopathology
Wound Healing - physiology
Young Adult
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Summary:ABSTRACT Background The free fibula flap has become popular for mandibular reconstruction. The purpose of this study was to propose comprehensive functional assessments of the donor site. Methods Thirty free fibula flaps for mandible reconstruction were prospectively enrolled in the study. Objective assessments included isokinetic testing of the ankle joint, electromyographic examination of the superficial peroneal nerve (SPN), and preoperative and postoperative foot scans. The Patient and Observer Scar Assessment Scale (POSAS) was used to subjectively assess the donor site. Results The isokinetic values of the donor side showed a significant decrease 1 year postoperatively. The results of the electromyographic test of the SPN were categorized as 3 types. The plantar center pressure shifted to the heel on the donor side 6 months postoperatively. The aesthetic outcome was satisfactory. Conclusion The functional parameters of the donor site indeed declined in our assessments. Further refinements in the surgical technique are needed to improve the donor site status. © 2016 Wiley Periodicals, Inc. Head Neck 39: 279–287, 2017
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.24581