To analyse possible differences in functional deficit and donor-site morbidity between the routinely used free osteocutaneous fibular flaps and the free fibula osteomyocutaneous (with flexor hallucis longus ) flap.
ID
Source
Brief title
Condition
- Bone and joint therapeutic procedures
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary study parameter is the AOFAS Ankle- Hindfoot Scale and Hallux
Metatarsophalangeal- Interphalangeal Scale
Secondary outcome
Secondary study parameters are:
- Flexion- and extension force of the hallux
- Range of motion ankle and MTP-I joint
- Walking distance (6 minutes)
- Stability test
- Sensibility
- Morbidity score (subjective)
- POSAS score
- Ankle lining
- Karlsson score (instability ankle)
Background summary
The free fibula osteofasciocutaneous flap has become a very popular source of
vascularized bone and skin. Developed originally for extremity reconstruction,
the fibula flap is now used widely in various other clinical applications
including reconstruction of the mandible .
To add bulk, the flexor hallucis longus muscle and part of the posterior tibial
and soleus muscles can be included in the flap.
The fibula flap appears to have a relative lack of donor site morbidity.
There are several studies describing the donor leg morbidity after removal of
osseous and osteocutaneous fibula flaps , but the effect of flexor hallucis
longus harvest (osteomyocutaneous flap) is unknown.
Study objective
To analyse possible differences in functional deficit and donor-site morbidity
between the routinely used free osteocutaneous fibular flaps and the free
fibula osteomyocutaneous (with flexor hallucis longus ) flap.
Study design
Retrospective cross-sectional design
Study burden and risks
No risks with participation
Boelelaan 1117
1081 HV Amsterdam
NL
Boelelaan 1117
1081 HV Amsterdam
NL
Listed location countries
Age
Inclusion criteria
Patients who underwent a reconstruction with a free osteocutaneous or a free osteomyocutaneous fibula flap between 1 january 1995 and 1 november 2009
Exclusion criteria
A history of previous surgery or trauma of the contralateral leg.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL33079.029.10 |