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Long-term biomechanical analysis of donor site morbidity after radial forearm free flap

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Long-term biomechanical analysis of donor site morbidity after radial forearm free flap. / Riecke, Björn; Kohlmeier, Carsten; Kreiker, Henri; Suling, Anna; Assaf, Alexandre Thomas; Wikner, Johannes; Hanken, Henning; Heiland, Max; Gröbe, Alexander; Rendenbach, Carsten.

in: J CRANIO MAXILL SURG, Jahrgang 43, Nr. 9, 11.2015, S. 1776-1780.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Riecke, B, Kohlmeier, C, Kreiker, H, Suling, A, Assaf, AT, Wikner, J, Hanken, H, Heiland, M, Gröbe, A & Rendenbach, C 2015, 'Long-term biomechanical analysis of donor site morbidity after radial forearm free flap', J CRANIO MAXILL SURG, Jg. 43, Nr. 9, S. 1776-1780. https://doi.org/10.1016/j.jcms.2015.07.039

APA

Riecke, B., Kohlmeier, C., Kreiker, H., Suling, A., Assaf, A. T., Wikner, J., Hanken, H., Heiland, M., Gröbe, A., & Rendenbach, C. (2015). Long-term biomechanical analysis of donor site morbidity after radial forearm free flap. J CRANIO MAXILL SURG, 43(9), 1776-1780. https://doi.org/10.1016/j.jcms.2015.07.039

Vancouver

Riecke B, Kohlmeier C, Kreiker H, Suling A, Assaf AT, Wikner J et al. Long-term biomechanical analysis of donor site morbidity after radial forearm free flap. J CRANIO MAXILL SURG. 2015 Nov;43(9):1776-1780. https://doi.org/10.1016/j.jcms.2015.07.039

Bibtex

@article{708bfe43baeb4dc29adbf5b890566b7e,
title = "Long-term biomechanical analysis of donor site morbidity after radial forearm free flap",
abstract = "BACKGROUND: Although the radial forearm free flap (RFF) is a commonly used microvascular graft for head and neck reconstruction, long-term biomechanical results regarding donor site morbidity are rare.PATIENTS AND METHODS: In a prospective panel study, 32 patients were included. Biomechanical assessment was performed preoperatively, three months postoperatively and two years postoperatively. The primary endpoint of the study was grip strength. In addition, the Mayo wrist score, DASH score (disabilities of the arm, shoulder and hand score), fine motor skill strengths (tip pinch, key pinch, palmar pinch) and the range of motion were analysed. Primary defects were closed with local full-thickness skin grafts (FTSG) from the donor site forearm avoiding a secondary defect site.RESULTS: In the long-term analysis, grip strength was reduced in both arms. A significant improvement over time was found only for the donor arm. A persistent deficit of tip pinch strength and dorsal extension was recorded. Persistent sensory limitations occurred in four cases. Patient contentment after two years of follow-up was high and daily life routine was not restricted.CONCLUSION: Gross and fine motor skill limitations are reversible short-term effects after RFF harvesting and do not restrict daily routine in the long term. These findings substantiate the value of the RFF as a workhorse in reconstructive surgery.",
author = "Bj{\"o}rn Riecke and Carsten Kohlmeier and Henri Kreiker and Anna Suling and Assaf, {Alexandre Thomas} and Johannes Wikner and Henning Hanken and Max Heiland and Alexander Gr{\"o}be and Carsten Rendenbach",
note = "Copyright {\textcopyright} 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.",
year = "2015",
month = nov,
doi = "10.1016/j.jcms.2015.07.039",
language = "English",
volume = "43",
pages = "1776--1780",
journal = "J CRANIO MAXILL SURG",
issn = "1010-5182",
publisher = "Elsevier",
number = "9",

}

RIS

TY - JOUR

T1 - Long-term biomechanical analysis of donor site morbidity after radial forearm free flap

AU - Riecke, Björn

AU - Kohlmeier, Carsten

AU - Kreiker, Henri

AU - Suling, Anna

AU - Assaf, Alexandre Thomas

AU - Wikner, Johannes

AU - Hanken, Henning

AU - Heiland, Max

AU - Gröbe, Alexander

AU - Rendenbach, Carsten

N1 - Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

PY - 2015/11

Y1 - 2015/11

N2 - BACKGROUND: Although the radial forearm free flap (RFF) is a commonly used microvascular graft for head and neck reconstruction, long-term biomechanical results regarding donor site morbidity are rare.PATIENTS AND METHODS: In a prospective panel study, 32 patients were included. Biomechanical assessment was performed preoperatively, three months postoperatively and two years postoperatively. The primary endpoint of the study was grip strength. In addition, the Mayo wrist score, DASH score (disabilities of the arm, shoulder and hand score), fine motor skill strengths (tip pinch, key pinch, palmar pinch) and the range of motion were analysed. Primary defects were closed with local full-thickness skin grafts (FTSG) from the donor site forearm avoiding a secondary defect site.RESULTS: In the long-term analysis, grip strength was reduced in both arms. A significant improvement over time was found only for the donor arm. A persistent deficit of tip pinch strength and dorsal extension was recorded. Persistent sensory limitations occurred in four cases. Patient contentment after two years of follow-up was high and daily life routine was not restricted.CONCLUSION: Gross and fine motor skill limitations are reversible short-term effects after RFF harvesting and do not restrict daily routine in the long term. These findings substantiate the value of the RFF as a workhorse in reconstructive surgery.

AB - BACKGROUND: Although the radial forearm free flap (RFF) is a commonly used microvascular graft for head and neck reconstruction, long-term biomechanical results regarding donor site morbidity are rare.PATIENTS AND METHODS: In a prospective panel study, 32 patients were included. Biomechanical assessment was performed preoperatively, three months postoperatively and two years postoperatively. The primary endpoint of the study was grip strength. In addition, the Mayo wrist score, DASH score (disabilities of the arm, shoulder and hand score), fine motor skill strengths (tip pinch, key pinch, palmar pinch) and the range of motion were analysed. Primary defects were closed with local full-thickness skin grafts (FTSG) from the donor site forearm avoiding a secondary defect site.RESULTS: In the long-term analysis, grip strength was reduced in both arms. A significant improvement over time was found only for the donor arm. A persistent deficit of tip pinch strength and dorsal extension was recorded. Persistent sensory limitations occurred in four cases. Patient contentment after two years of follow-up was high and daily life routine was not restricted.CONCLUSION: Gross and fine motor skill limitations are reversible short-term effects after RFF harvesting and do not restrict daily routine in the long term. These findings substantiate the value of the RFF as a workhorse in reconstructive surgery.

U2 - 10.1016/j.jcms.2015.07.039

DO - 10.1016/j.jcms.2015.07.039

M3 - SCORING: Journal article

C2 - 26325617

VL - 43

SP - 1776

EP - 1780

JO - J CRANIO MAXILL SURG

JF - J CRANIO MAXILL SURG

SN - 1010-5182

IS - 9

ER -