DONOR SITE MORBIDITY OF FIBULAR FLAP

Objective: To present the early and late outcomes related to donor site morbidity of Free Fibular Flap. Study Design: Prospective observational study. Place and Duration of Study: Plastic surgery department, Combined Military Hospital Rawalpindi, from Jan 2009 to Jan 2020. Methodology: In t...

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Autores principales: Ghazanfar Ali, Abdul Majid, Danish Almas, Shahid Hameed, Rizwan Aslam, Zubair Ahmad Khan
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2021
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Acceso en línea:https://doaj.org/article/17b06b5311c049b687584f4445e392b6
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spelling oai:doaj.org-article:17b06b5311c049b687584f4445e392b62021-12-02T17:10:36ZDONOR SITE MORBIDITY OF FIBULAR FLAP0030-96482411-884210.51253/pafmj.v71i2.5220https://doaj.org/article/17b06b5311c049b687584f4445e392b62021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/5220https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To present the early and late outcomes related to donor site morbidity of Free Fibular Flap. Study Design: Prospective observational study. Place and Duration of Study: Plastic surgery department, Combined Military Hospital Rawalpindi, from Jan 2009 to Jan 2020. Methodology: In total 361 patients were enrolled for the study through consecutive purposive sampling. All patients requiring free fibula flap for reconstruction of the defect were included in the study. However, the patients with Diabetes Mellitus, Smoking or peripheral vascular disease were excluded from the study. The patients were asked to visit on second week and then at three months for late outcomes. The results were entered SPSS-24 for analysis and interpretation of data. Results: Out of total 361 patients enrolled for study 293 (81.16%) were male and 68 (18.83%) were female. The men age was 51.43 years SD 14.6 (range 4 year to 68 years). In early outcomes, graft loss 29 (8.03%) and sensory deficit 19 (5.26%), are the commonest adverse outcomes. Results of late follow up revealed chronic pain in 29 (8.03%), ankle instability in 24 (6.64%), gait abnormality in 29 (8.76%) and claw toe in 33 (9.14%) patients. The American Orthopedic Foot and Ankle Society (AOFAS) score was 88.45%. Majority (52.63%) patients were very satisfied. Conclusion: The free Fibula is excellent choice for reconstruction of a wide range of osseous defects with minimum donor site morbidity and high satisfaction rate among the patients. Keywords:Ghazanfar AliAbdul MajidDanish AlmasShahid HameedRizwan AslamZubair Ahmad KhanArmy Medical College Rawalpindiarticledonor sitefree fibulamorbidityMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 387-91 (2021)
institution DOAJ
collection DOAJ
language EN
topic donor site
free fibula
morbidity
Medicine
R
Medicine (General)
R5-920
spellingShingle donor site
free fibula
morbidity
Medicine
R
Medicine (General)
R5-920
Ghazanfar Ali
Abdul Majid
Danish Almas
Shahid Hameed
Rizwan Aslam
Zubair Ahmad Khan
DONOR SITE MORBIDITY OF FIBULAR FLAP
description Objective: To present the early and late outcomes related to donor site morbidity of Free Fibular Flap. Study Design: Prospective observational study. Place and Duration of Study: Plastic surgery department, Combined Military Hospital Rawalpindi, from Jan 2009 to Jan 2020. Methodology: In total 361 patients were enrolled for the study through consecutive purposive sampling. All patients requiring free fibula flap for reconstruction of the defect were included in the study. However, the patients with Diabetes Mellitus, Smoking or peripheral vascular disease were excluded from the study. The patients were asked to visit on second week and then at three months for late outcomes. The results were entered SPSS-24 for analysis and interpretation of data. Results: Out of total 361 patients enrolled for study 293 (81.16%) were male and 68 (18.83%) were female. The men age was 51.43 years SD 14.6 (range 4 year to 68 years). In early outcomes, graft loss 29 (8.03%) and sensory deficit 19 (5.26%), are the commonest adverse outcomes. Results of late follow up revealed chronic pain in 29 (8.03%), ankle instability in 24 (6.64%), gait abnormality in 29 (8.76%) and claw toe in 33 (9.14%) patients. The American Orthopedic Foot and Ankle Society (AOFAS) score was 88.45%. Majority (52.63%) patients were very satisfied. Conclusion: The free Fibula is excellent choice for reconstruction of a wide range of osseous defects with minimum donor site morbidity and high satisfaction rate among the patients. Keywords:
format article
author Ghazanfar Ali
Abdul Majid
Danish Almas
Shahid Hameed
Rizwan Aslam
Zubair Ahmad Khan
author_facet Ghazanfar Ali
Abdul Majid
Danish Almas
Shahid Hameed
Rizwan Aslam
Zubair Ahmad Khan
author_sort Ghazanfar Ali
title DONOR SITE MORBIDITY OF FIBULAR FLAP
title_short DONOR SITE MORBIDITY OF FIBULAR FLAP
title_full DONOR SITE MORBIDITY OF FIBULAR FLAP
title_fullStr DONOR SITE MORBIDITY OF FIBULAR FLAP
title_full_unstemmed DONOR SITE MORBIDITY OF FIBULAR FLAP
title_sort donor site morbidity of fibular flap
publisher Army Medical College Rawalpindi
publishDate 2021
url https://doaj.org/article/17b06b5311c049b687584f4445e392b6
work_keys_str_mv AT ghazanfarali donorsitemorbidityoffibularflap
AT abdulmajid donorsitemorbidityoffibularflap
AT danishalmas donorsitemorbidityoffibularflap
AT shahidhameed donorsitemorbidityoffibularflap
AT rizwanaslam donorsitemorbidityoffibularflap
AT zubairahmadkhan donorsitemorbidityoffibularflap
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