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首页> 外文期刊>Plastic and reconstructive surgery >What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery
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What is the price to pay for a free fibula flap? A systematic review of donor-site morbidity following free fibula flap surgery

机译：免费的腓骨皮瓣要付多少钱？腓骨游离皮瓣手术后供体发病率的系统评价

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BACKGROUND: A number of donor-site morbidities following free fibula flap surgery, although usually minor and transient, have been documented. The primary aim of this systematic review was to identify the incidence of donor-site morbidity after free fibula flap surgery, to discuss the causes of these morbidities, and to identify the best methods of prevention and treatment available. METHODS: A systematic search of the English and Chinese literature was performed of the PubMed, MEDLINE, Cochrane Library, and Embase databases. The study selection process was adapted from the PRISMA statement, and 42 articles complied with the study inclusion criteria. RESULTS: Forty-two relevant articles were included in the final analysis. Regarding early donor-site morbidity, the weighted mean incidences were as follows: wound infection, 1.07 percent; wound dehiscence, 7.0 percent; wound necrosis, 7.3 percent; delayed wound healing, 17.4 percent; partial skin graft loss, 8.1 percent; and total skin graft loss, 4.7 percent. The weighted mean incidence of early wound morbidity in surgical wounds that were closed primarily was 9.9 percent, compared with skin graft closure at 19.0 percent. In late donor-site morbidities, the weighted mean incidences were as follows: chronic pain, 6.5 percent; considerable gait abnormality, 3.9 percent; ankle instability, 5.8 percent; limited range of motion in the ankle, 11.5 percent; reduced muscle strength, 4.0 percent; claw toe, 6.1 percent; dorsiflexion of the great toe, 3.6 percent; and sensory deficit, 6.95 percent. The mean American Orthopaedic Foot and Ankle Society score was 85.5 percent. CONCLUSION: One would expect to pay a low price for free fibula flap surgery with adequate surgical experience, refinements in surgical technique, and comprehensive postoperative care.
机译：背景：游离腓骨皮瓣手术后的许多供体部位发病率，虽然通常是轻微的和短暂的，但已有文献记载。这项系统评价的主要目的是确定游离腓骨皮瓣手术后供体部位发病率，讨论这些发病原因，并确定可用的最佳预防和治疗方法。方法：对PubMed，MEDLINE，Cochrane图书馆和Embase数据库进行了系统的英语和中文文献检索。研究选择过程根据PRISMA声明改编而成，符合研究纳入标准的文章共42篇。结果：42篇相关文章被纳入最终分析。关于早期供体部位发病率，加权平均发生率如下：伤口感染率为1.07％;伤口裂开，7.0％;伤口坏死，占7.3％;伤口愈合延迟，占17.4％;皮肤部分移植损失为8.1％;皮肤移植总损失为4.7％。在最初闭合的外科伤口中，早期伤口发病的加权平均发生率为9.9％，而在皮肤移植中闭合率为19.0％。在较晚的捐助者发病率中，加权平均发生率如下：慢性疼痛占6.5％;慢性疼痛占6.5％。相当大的步态异常，为3.9％;脚踝不稳，5.8％;踝关节活动范围有限，为11.5％;肌肉力量降低4.0％;爪趾，6.1％;大脚趾背屈3.6％;和感觉不足，6.95％。美国整形外科足踝学会得分为85.5％。结论：人们期望免费的腓骨皮瓣手术价格低廉，具有足够的手术经验，完善的手术技术和全面的术后护理。

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