Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study
Purpose The aim of this study was to investigate gait kinematic parameters during stair ascent and descent after fibula free flap removal for facial reconstruction. Materials and Methods Eight patients who underwent facial reconstruction with fibula free flap removal ascended and descended 3 standar...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 2015, Vol.73 (1), p.184-193 |
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| container_title | Journal of oral and maxillofacial surgery |
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| creator | Baj, Alessandro, MD Lovecchio, Nicola, PhD Bolzoni, Alessandro, MD Mapelli, Andrea, PhD Giannì, Aldo Bruno, MD Sforza, Chiarella, MD |
| description | Purpose The aim of this study was to investigate gait kinematic parameters during stair ascent and descent after fibula free flap removal for facial reconstruction. Materials and Methods Eight patients who underwent facial reconstruction with fibula free flap removal ascended and descended 3 standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared with those calculated in 8 control subjects. Results Stride time, percentage of swing, and support phases did not differ among healthy and operated limbs and control subjects (Kruskal-Wallis, P > .05). No significant differences were found for hip and knee movements, pelvis rotation and tilt, and body center of mass displacements. During stair descent, the patients had significantly larger pelvis inclinations than the control subjects ( P < .05). Conclusions No functional limitations during stair performance were found. The only significant difference could indicate a minor control of the pelvis and should be used to define specific rehabilitative interventions. |
| doi_str_mv | 10.1016/j.joms.2014.07.043 |
| format | Article |
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Materials and Methods Eight patients who underwent facial reconstruction with fibula free flap removal ascended and descended 3 standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared with those calculated in 8 control subjects. Results Stride time, percentage of swing, and support phases did not differ among healthy and operated limbs and control subjects (Kruskal-Wallis, P > .05). No significant differences were found for hip and knee movements, pelvis rotation and tilt, and body center of mass displacements. During stair descent, the patients had significantly larger pelvis inclinations than the control subjects ( P < .05). Conclusions No functional limitations during stair performance were found. The only significant difference could indicate a minor control of the pelvis and should be used to define specific rehabilitative interventions.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2014.07.043</identifier><identifier>PMID: 25511965</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Body Height ; Body Weight ; Bone Transplantation ; Case-Control Studies ; Dentistry ; Female ; Fibula - surgery ; Follow-Up Studies ; Free Tissue Flaps - transplantation ; Gait - physiology ; Hip Joint - physiology ; Humans ; Imaging, Three-Dimensional - methods ; Knee Joint - physiology ; Leg - physiology ; Male ; Middle Aged ; Pelvis - physiology ; Range of Motion, Articular - physiology ; Rotation ; Skin Transplantation ; Surgery ; Transplant Donor Site - surgery ; Walking - physiology</subject><ispartof>Journal of oral and maxillofacial surgery, 2015, Vol.73 (1), p.184-193</ispartof><rights>American Association of Oral and Maxillofacial Surgeons</rights><rights>2015 American Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-d872dd8051e6ce12783b4d3411e03ca362222e479cc66267e223ff617c177d143</citedby><cites>FETCH-LOGICAL-c521t-d872dd8051e6ce12783b4d3411e03ca362222e479cc66267e223ff617c177d143</cites><orcidid>0000-0001-6532-6464</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0278239114012816$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,4009,27902,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25511965$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baj, Alessandro, MD</creatorcontrib><creatorcontrib>Lovecchio, Nicola, PhD</creatorcontrib><creatorcontrib>Bolzoni, Alessandro, MD</creatorcontrib><creatorcontrib>Mapelli, Andrea, PhD</creatorcontrib><creatorcontrib>Giannì, Aldo Bruno, MD</creatorcontrib><creatorcontrib>Sforza, Chiarella, MD</creatorcontrib><title>Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose The aim of this study was to investigate gait kinematic parameters during stair ascent and descent after fibula free flap removal for facial reconstruction. Materials and Methods Eight patients who underwent facial reconstruction with fibula free flap removal ascended and descended 3 standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared with those calculated in 8 control subjects. Results Stride time, percentage of swing, and support phases did not differ among healthy and operated limbs and control subjects (Kruskal-Wallis, P > .05). No significant differences were found for hip and knee movements, pelvis rotation and tilt, and body center of mass displacements. During stair descent, the patients had significantly larger pelvis inclinations than the control subjects ( P < .05). Conclusions No functional limitations during stair performance were found. The only significant difference could indicate a minor control of the pelvis and should be used to define specific rehabilitative interventions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Height</subject><subject>Body Weight</subject><subject>Bone Transplantation</subject><subject>Case-Control Studies</subject><subject>Dentistry</subject><subject>Female</subject><subject>Fibula - surgery</subject><subject>Follow-Up Studies</subject><subject>Free Tissue Flaps - transplantation</subject><subject>Gait - physiology</subject><subject>Hip Joint - physiology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Knee Joint - physiology</subject><subject>Leg - physiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pelvis - physiology</subject><subject>Range of Motion, Articular - physiology</subject><subject>Rotation</subject><subject>Skin Transplantation</subject><subject>Surgery</subject><subject>Transplant Donor Site - surgery</subject><subject>Walking - physiology</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhSMEokvhD3BAPnJJ6rETO4sQ0qplAamoSFvOVtaeIIfELrZTtAf-O45SOHDAF1vjN0_zvimKl0AroCAuhmrwU6wYhbqisqI1f1RsoOFQNrThj4sNZbItGd_CWfEsxoFSgEaKp8UZaxqArWg2xa9D6mwgu6jRJdI5Q65wfVuXqxFjtO4bufLOh_JgE5LPPhytselE9n4c_c_l-yYm9HpOnUM_R7IPiGRvj_PYkdvQudhjeEN25EvA0U7WdeFEDmk2p-fFk74bI754uM-Lr_v3t5cfy-ubD58ud9elbhik0rSSGdPSBlBohJyKH2vDawCkXHdcsHywlluthWBCImO87wVIDVIaqPl58Xr1vQv-x4wxqcnmlOO4DqxAcNkI0dYsS9kq1cHHGLBXd8FOeWIFVC3Y1aAW7GrBrqhUGXtuevXgPx8nNH9b_nDOgrerAHPKe4tBRW3RaTQ2oE7KePt__3f_tOvROqu78TueMA5-Di7zU6AiU1QdlsUve4eaAmtzut8vOqjF</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Baj, Alessandro, MD</creator><creator>Lovecchio, Nicola, PhD</creator><creator>Bolzoni, Alessandro, MD</creator><creator>Mapelli, Andrea, PhD</creator><creator>Giannì, Aldo Bruno, MD</creator><creator>Sforza, Chiarella, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6532-6464</orcidid></search><sort><creationdate>2015</creationdate><title>Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study</title><author>Baj, Alessandro, MD ; Lovecchio, Nicola, PhD ; Bolzoni, Alessandro, MD ; Mapelli, Andrea, PhD ; Giannì, Aldo Bruno, MD ; Sforza, Chiarella, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-d872dd8051e6ce12783b4d3411e03ca362222e479cc66267e223ff617c177d143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Height</topic><topic>Body Weight</topic><topic>Bone Transplantation</topic><topic>Case-Control Studies</topic><topic>Dentistry</topic><topic>Female</topic><topic>Fibula - surgery</topic><topic>Follow-Up Studies</topic><topic>Free Tissue Flaps - transplantation</topic><topic>Gait - physiology</topic><topic>Hip Joint - physiology</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Knee Joint - physiology</topic><topic>Leg - physiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pelvis - physiology</topic><topic>Range of Motion, Articular - physiology</topic><topic>Rotation</topic><topic>Skin Transplantation</topic><topic>Surgery</topic><topic>Transplant Donor Site - surgery</topic><topic>Walking - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baj, Alessandro, MD</creatorcontrib><creatorcontrib>Lovecchio, Nicola, PhD</creatorcontrib><creatorcontrib>Bolzoni, Alessandro, MD</creatorcontrib><creatorcontrib>Mapelli, Andrea, PhD</creatorcontrib><creatorcontrib>Giannì, Aldo Bruno, MD</creatorcontrib><creatorcontrib>Sforza, Chiarella, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baj, Alessandro, MD</au><au>Lovecchio, Nicola, PhD</au><au>Bolzoni, Alessandro, MD</au><au>Mapelli, Andrea, PhD</au><au>Giannì, Aldo Bruno, MD</au><au>Sforza, Chiarella, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2015</date><risdate>2015</risdate><volume>73</volume><issue>1</issue><spage>184</spage><epage>193</epage><pages>184-193</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><abstract>Purpose The aim of this study was to investigate gait kinematic parameters during stair ascent and descent after fibula free flap removal for facial reconstruction. Materials and Methods Eight patients who underwent facial reconstruction with fibula free flap removal ascended and descended 3 standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared with those calculated in 8 control subjects. Results Stride time, percentage of swing, and support phases did not differ among healthy and operated limbs and control subjects (Kruskal-Wallis, P > .05). No significant differences were found for hip and knee movements, pelvis rotation and tilt, and body center of mass displacements. During stair descent, the patients had significantly larger pelvis inclinations than the control subjects ( P < .05). Conclusions No functional limitations during stair performance were found. The only significant difference could indicate a minor control of the pelvis and should be used to define specific rehabilitative interventions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25511965</pmid><doi>10.1016/j.joms.2014.07.043</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-6532-6464</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Body Height Body Weight Bone Transplantation Case-Control Studies Dentistry Female Fibula - surgery Follow-Up Studies Free Tissue Flaps - transplantation Gait - physiology Hip Joint - physiology Humans Imaging, Three-Dimensional - methods Knee Joint - physiology Leg - physiology Male Middle Aged Pelvis - physiology Range of Motion, Articular - physiology Rotation Skin Transplantation Surgery Transplant Donor Site - surgery Walking - physiology |
| title | Stair Ascent and Descent in Assessing Donor-Site Morbidity Following Osteocutaneous Free Fibula Transfer: A Preliminary Study |
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