Free fibula donor-site morbidity: the Mayo experience with 100 consecutive harvests.

Abstract:

:A retrospective analysis of 100 consecutive patients undergoing free fibula harvest at the Mayo Clinic is presented. Every patient was analyzed by reviewing postoperative physical examination data. All patients were evaluated and followed in the early postoperative course by the physical medicine and rehabilitation services. Patients were followed from 3 to 60 months, with an average follow up of 17.42 months. In the patient group, 72 flaps were osseous and 28 osteocutaneous. Thirty-six complications at the donor site were observed in 30 patients. An additional 19 patients required prolonged pharmacologic pain control beyond the first 6 postoperative weeks, with no donor-site complications clinically detectable. Hammertoe was observed in six patients and wound dehiscence in seven patients. Tendon exposure was observed in five patients; partial split-thickness skin graft loss was observed in eight. Numbness of the foot was reported in 10 patients. Fifteen patient had limited maximum ambulatory distance to less than 1000 m. An additional six patients reported difficulty walking stairs. Attention to details and meticulous wound care are required to further reduce wound-healing complications. Immediate postoperative involvement of the physical medicine and rehabilitation services was beneficial in early patient mobilization and achievement of preoperative ambulation levels. After a short rehabilitation period, the majority of patients were able to engage in all daily activities.

journal_name

J Reconstr Microsurg

authors

Babovic S,Johnson CH,Finical SJ

doi

10.1055/s-2000-7544

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

107-10

issue

2

eissn

0743-684X

issn

1098-8947

journal_volume

16

pub_type

杂志文章
  • FK506 and nerve regeneration: past, present, and future.

    abstract::Promoting neurological recovery requires strategies that simultaneously provide protection to injured neurons and increase the numbers of neurons that extend axons while inducing more rapid and extensive axon regeneration across long nerve gaps. An agent that facilitates the speed and success of reinnervation will hav...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1333314

    authors: Konofaos P,Terzis JK

    更新日期:2013-03-01 00:00:00

  • Digital neural loops: classification and implications of variation in hand surgery.

    abstract:BACKGROUND:The "neural loop" describes a digital artery passing through a digital nerve, after which both the structures progress distally to supply the digit. While rare, past descriptions refer to neural loops located around the common palmar digital arteries, with no reports of more distal loops. METHODS:We describ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0033-1348899

    authors: Niumsawatt V,Rozen WM

    更新日期:2014-01-01 00:00:00

  • The impact of current immunosuppression strategies in renal transplantation on the field of reconstructive transplantation.

    abstract::Composite tissue allograft (CTA) transplantation, such as the clinical face and hand transplants, has now been performed in multiple centers across the world. The transplants have successfully treated complex injuries that have either failed conventional approaches or where autologous reconstruction could not restore ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1285988

    authors: Chang J,Davis CL,Mathes DW

    更新日期:2012-01-01 00:00:00

  • Free combined anterolateral thigh flap and vascularized iliac bone graft with double vascular pedicle.

    abstract::Although free vascularized iliac bone graft has been successfully used for the reconstruction of large bone defect with microvascular surgery, there is a serious problem of how to repair in one-stage, those cases having a large bone defect with a very wide skin defect. A free combined anterolateral flap and vasculariz...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006851

    authors: Koshima I,Fukuda H,Soeda S

    更新日期:1989-01-01 00:00:00

  • Occasions for multiple flaps in lower-limb reconstructions: once is sometimes not enough.

    abstract::A retrospective review of 11 patients with complex and massive lower-limb defects requiring multiple transfers and/or regional muscle flaps for closure, found that microvascular transfers achieved final wound closure, either alone or in concert with local flaps, in all but one case. A local flap alone was not sufficie...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000160

    authors: Isenberg JS

    更新日期:1998-04-01 00:00:00

  • Liposuction in Lymphedema Treatment.

    abstract:BACKGROUND:Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a lar...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1549158

    authors: Brorson H

    更新日期:2016-01-01 00:00:00

  • A case of replantation of a completely amputated digit after 26 hours of warm ischemia.

    abstract::A seven-year-old-boy received a digit replantation after 26 hours of warm ischemia and showed good recovery of motor and sensory functions. In the case reported, replantation was performed after a much longer ischemic time than had been considered an indication for the procedure in previous reports. Successful replant...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006977

    authors: Seo T,Matsuda M

    更新日期:1987-01-01 00:00:00

  • Operative technique to harvest an arterial flap from the posterolateral calf region: how can we elevate a lateral gastrocnemius perforating artery flap safely?

    abstract::The posterior calf region is a useful donor site for skin or composite flaps including muscle and/or nerves. We reported the first clinical use of the lateral gastrocnemius perforating artery flap including a vascularized sural nerve in 2003. This flap was elevated based on a perforator arising from the lateral head o...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1064930

    authors: Kashiwa K,Kobayashi S,Tono H,Ogino K,Kimura H

    更新日期:2008-01-01 00:00:00

  • Efficacy of free flaps for pediatric trauma patients in an adult trauma center.

    abstract::Although many trauma centers are primarily "adult-oriented," the presentation of unusual life- or limb-threatening wounds in children occasionally have mandated urgent microvascular tissue transfer for salvage. For these rare instances, should a microsurgical team accustomed to dealing with adult trauma patients even ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006526

    authors: Hallock GG

    更新日期:1995-05-01 00:00:00

  • Nerve graft prefabrication: preliminary study.

    abstract::This study aimed to produce prefabricated nerve graft as effective as autologous nerve graft without donor site morbidity for repairing segmental nerve defects. Thirty rats were used and were separated into three groups. In the first group, vein graft excised from jugular vein was sutured to make a bridge between epin...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1076087

    authors: Ulkur E,Karagoz H,Celikoz B,Turan P,Arbak S,Yapar M

    更新日期:2008-02-01 00:00:00

  • C3,4 transfer for neurotization of C5,6 nerve roots in brachial plexus injury in a rabbit model.

    abstract::To evaluate the root neurotization properties of extraplexal donor nerves, an avulsion injury model of brachial plexus was created and repaired by C 3,4 nerve-root transfers in the rabbit. Eighteen rabbits were divided into three groups. In Group 1 (n = 6), the right C 5,6 nerve roots were avulsed and bridged by a ner...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2003-40583

    authors: Cao X,Li J,Cao Y,Cai J

    更新日期:2003-05-01 00:00:00

  • The relationship of functional return to varying methods of nerve repair.

    abstract::This experimental study correlated varying methods of nerve repair with the degree of functional return using the rat sciatic nerve as a model. Six groups of adult male Sprague-Dawley rats (300 to 350 g) had their left sciatic nerve crushed (Group 1), transected and not repaired (Group 6), or transected and repaired u...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006804

    authors: Buehler MJ,Seaber AV,Urbaniak JR

    更新日期:1990-01-01 00:00:00

  • Direct neurotization of muscles by presynaptic motoneurons.

    abstract::The spinal cord cannot heal after severance because the central nervous system is "non-permissive" to the advancement of axons that regrow from presynaptic motoneurons. With the aim of overcoming paraplegia, the author has carried out extensive experimental research since 1980, first in rats and subsequently in monkey...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-18873

    authors: Brunelli GA

    更新日期:2001-11-01 00:00:00

  • Overcoming peripheral nerve gap defects using an intact nerve bridge in a rabbit model.

    abstract::This study investigated the intact nerve bridge technique for overcoming peripheral nerve gap defects in a rabbit model. To create the intact nerve bridge, a 1-cm segment of the peroneal nerve is resected leaving a gap defect. The proximal and distal peroneal nerve stumps are sutured 1 cm apart, in an end-to-side fash...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-869827

    authors: McCallister WV,McCallister EL,Trumble SA,Trumble TE

    更新日期:2005-04-01 00:00:00

  • A Novel Method of Neo-osseous Flap Prefabrication: Induction of Free Calvarial Periosteum with Bioactive Glass.

    abstract:BACKGROUND: Reconstruction of craniofacial bone defects is a primary focus of craniofacial surgery. Although autogenous bone grafts remain as the gold standard, alloplastic materials have also gained widespread popularity due to their off-the-shelf availability, ease of use, and durability. In addition to replacing the...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0037-1598254

    authors: Aliyev A,Ekin Ö,Bitik O,Korkusuz P,Yersal NC,Çelik HH,Tunçbilek G

    更新日期:2018-06-01 00:00:00

  • Peripheral nerve regeneration in the apolipoprotein-E-deficient mouse.

    abstract::Apolipoprotein E (apo E) is thought to mediate the reutilization of myelin cholesterol for nerve regeneration. Prior research suggests that apo E is not essential for nerve regeneration following a nerve crush injury. This study was conducted to determine if apo E is essential for nerve regeneration after nerve transe...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2002-33321

    authors: Genden EM,Watanabe O,Mackinnon SE,Hunter DA,Strasberg SR

    更新日期:2002-08-01 00:00:00

  • Sensory recovery of innervated and non-innervated radial forearm free flaps: functional implications.

    abstract::Findings reported in the literature on the sensation provided by intraorally applied innervated vs. non-innervated radial forearm free flaps differ. In an effort to understand these differences in sensory recovery, the authors carried out sensory evaluations in 12 patients who had undergone radial forearm free flaps. ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2000-7549

    authors: Netscher D,Armenta AH,Meade RA,Alford EL

    更新日期:2000-04-01 00:00:00

  • Determining the maximal length of a vein conduit used as an interposition graft for nerve regeneration.

    abstract::Although autogenous veins have been used as nerve conduits (AVNCs) both experimentally and clinically for short nerve gaps up to 3 cm, investigators have not as yet determined the maximal effective length for functional nerve regeneration. In addition, the role of the distal nerve stump on subsequent nerve growth rema...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006624

    authors: Strauch B,Ferder M,Lovelle-Allen S,Moore K,Kim DJ,Llena J

    更新日期:1996-11-01 00:00:00

  • Extra and Intramuscular Distribution of the Thoracodorsal Nerve with Regard to Nerve Reconstruction Surgeries.

    abstract::Background The lateral branch of the thoracodorsal nerve (LBTN) is used for nerve transfer in facial, musculocutaneous, axillary nerve injuries and for irreparable C5, C6 spinal nerve lesions and accessory nerve defects. For a successful surgical outcome, the nerve to be used in nerve transfer should be of adequate le...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0036-1579541

    authors: Malalasekera A,Beneragama T,Kanesu S,Sahathevan V,Jayasekara R

    更新日期:2016-06-01 00:00:00

  • Chemotactic arrangement of axons inside and distal to a venous graft.

    abstract::Experiments in rats, introducing the proximal and distal stumps of tibial and sural nerves into a vein graft, showed by acetylcholinesterase and toluidine blue staining that sensory and motor fibers mix inside the vein graft, but that nevertheless they are able to select their distal targets correctly. The authors' hy...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006969

    authors: Brunelli G,Fontana G,Jager C,Bartolaminelli P,Franchini A

    更新日期:1987-01-01 00:00:00

  • Rationale for reconstruction of large scalp defects using the anterolateral thigh flap: structural and aesthetic outcomes.

    abstract::The advent of free tissue transfer has provided multiple options that allow preservation and maintain both the structural and aesthetic status of the scalp. Since the first report of the anterolateral thigh flap in 1984, it has become one of the most commonly used flaps for the reconstruction of various soft-tissue de...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2005-922433

    authors: Ozkan O,Coskunfirat OK,Ozgentas HE,Derin A

    更新日期:2005-11-01 00:00:00

  • Blood flow in a chronic entrapment neuropathy model in the rabbit sciatic nerve.

    abstract::A model of chronic entrapment neuropathy in the rabbit sciatic nerve was developed to try to elucidate the pathogenesis of chronic nerve entrapment. A non-compressive Silastic cuff was wrapped around the nerve at the mid-thigh level in eight rabbits. A sham operation that only elevated the sciatic nerve was performed ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000070

    authors: Aziz W,Firrell JC,Ogden L,Breidenbach WC

    更新日期:1999-01-01 00:00:00

  • Microvascular anastomoses using an Nd-YAG laser.

    abstract::The authors performed anastomoses of small vessels with the Nd-YAG laser, comparing these with conventional suture anastomoses. Some arteries were sutured with 10-0 nylon with about eight suture sites, and others were held by stay sutures at three points with laser irradiation performed between them. Two surgeons perf...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2000-8399

    authors: Nakamura T,Fukui A,Maeda M,Kugai M,Inada Y,Teramoto N,Ishida A,Tamai S

    更新日期:2000-10-01 00:00:00

  • Outcomes of Muscle Reinnervation with Direct Nerve Implantation into the Native Motor Zone of the Target Muscle.

    abstract::Background Our recent work has demonstrated that the native motor zone (NMZ) within a given skeletal muscle is the best site for muscle reinnervation. This study was designed to explore the outcomes of direct nerve implantation (DNI) into the NMZ of denervated sternomastoid (SM) muscle in a rat model. Methods The righ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0036-1592362

    authors: Sobotka S,Chen J,Nyirenda T,Mu L

    更新日期:2017-02-01 00:00:00

  • Effects of late loss of arterial inflow on free flap survival.

    abstract::Greater than 80 percent of free flap thromboses have been shown to occur within the first three postoperative days, warranting immediate re-exploration and restoration of adequate vessel patency. The infrequency of thromboses beyond this period is reflected in the lack of reported cases in the literature and the absen...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2002-35095

    authors: Salgado CJ,Smith A,Kim S,Higgins J,Behnam A,Herrera HR,Serletti JM

    更新日期:2002-10-01 00:00:00

  • Free vascularized fibular graft vs. Ilizarov method for post-traumatic tibial bone defect.

    abstract::From 1991 to 1996, four free vascularized fibular grafts (FVFG) and four callus distraction (CD) techniques were performed for post-traumatic tibial defects at the authors' institute. They attempted to discern any differences of results between FVFGs and CDs for post-traumatic tibial defects. The mean defect length of...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2001-12684

    authors: Yokoyama K,Itoman M,Nakamura K,Tsukamoto T,Saita Y,Aoki S

    更新日期:2001-01-01 00:00:00

  • A Retrospective Study of an Updated and Traditional Surgical Approach of the Distally Based Sural Flap.

    abstract:BACKGROUND: The distally based sural flap (DBSF) is one of the armamentarium in the lower limb reconstruction. However, the flap has not gained popularity due to concerns about its reliability and donor site morbidity. Based on the anatomy characterization, we combined and developed five modifications to improve the va...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-0040-1716744

    authors: Xu H,Cao X,Kiu-Huen S,Zhu Z,Chen J,Chi Z,Zhang Y

    更新日期:2020-09-17 00:00:00

  • Microarterial anastomosis with a distal tapering technique.

    abstract::In microsurgical arterial anastomoses, there are some occasions in which the diameter of the distal artery is much larger than that of the proximal one. A fish-mouth incision technique is useful when there is considerable size discrepancy. However, this method cannot be used when the distal artery is much larger than ...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1006576

    authors: Ueda K,Harashina T,Inoue T,Kurihara T,Harada T,Oba S

    更新日期:1994-03-01 00:00:00

  • Microsurgical reconstruction of the hepatic and superior mesenteric arteries using a back wall technique.

    abstract::During the last seven years, 17 patients underwent microsurgical reconstruction of 14 hepatic and four superior mesenteric arterial systems following extended pancreatectomy or hepatectomy, and in living-related liver transplantations (LRLT). All microvascular anastomoses in this series were performed using a back wal...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2007-1000109

    authors: Yamamoto Y,Sugihara T,Sasaki S,Furukawa H,Furukawa H,Okushiba S,Nohira K

    更新日期:1999-07-01 00:00:00

  • Nerve regeneration after terminolateral neurorrhaphy: experimental study in rats.

    abstract::Four methods of nerve terminolateral neurorrhaphy (TLN) were studied in rat experimental model. In Group A, the distal end of a severed peroneal nerve was sutured end-to-side with an intact tibial nerve trunk, without removal of the tibial epineurium at the suture site. In Group B, the distal end of a severed peroneal...

    journal_title:Journal of reconstructive microsurgery

    pub_type: 杂志文章

    doi:10.1055/s-2008-1063938

    authors: Zhao JZ,Chen ZW,Chen TY

    更新日期:1997-01-01 00:00:00