Garrett Alan, Ducic Yadranko, Athre Raghu S, Motley Travis, Carpenter Brian
Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, TX 76104, USA.
Am J Otolaryngol. 2006 Jan-Feb;27(1):29-32. doi: 10.1016/j.amjoto.2005.07.003.
To evaluate foot and ankle function in a series of patients undergoing fibula microvascular free tissue transfer.
A nonrandomized, nonblinded analysis was performed using the ankle-hindfoot scale as well as radiographic analysis to determine donor site morbidity.
Overall, foot ankle function was deemed to be good in this series of patients. Average ankle-hindfoot score was 84.82 of a possible 100 (range, 55-100). Radiographic analysis of donor and contralateral ankles showed no difference in the syndesmotic space or medial clear space. Only 1 patient had increased talar tilt compared with the contralateral side, although this patient had preservation of stability.
Fibula free flap harvest appears to be associated with acceptable donor site morbidity and preservation of good foot and ankle function in most individuals.
评估一系列接受腓骨微血管游离组织移植患者的足踝功能。
采用踝-后足评分以及影像学分析进行非随机、非盲法分析，以确定供区并发症。
总体而言，该系列患者的足踝功能良好。踝-后足平均评分为84.82分（满分100分，范围55 - 100分）。供侧与对侧踝关节的影像学分析显示，下胫腓联合间隙或内侧间隙无差异。与对侧相比，只有1例患者距骨倾斜增加，不过该患者的稳定性得以保留。
在大多数个体中，游离腓骨瓣切取似乎与可接受的供区并发症以及良好的足踝功能保留相关。
