Purpose: We wanted to investigate the gait kinematic parameters during stairs ascent and descent after a fibula free flap (FFF) removal for facial reconstruction. Methods: Eight patients who underwent facial reconstruction with FFF ascended and descended three standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared to those calculated in eight control subjects. Results: Stride time, percentage of swing and support phases did not differ among healthy or operated limb, and control subjects (Kruskal Wallis, p>0.05). 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 a significantly larger pelvis inclination than the control subjects (p<0.05). Conclusion: 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.

Stair ascent and descent in assessing donor site morbidity following osteocutaneous free fibula transfer : a preliminary study / A. Baj, N. Lovecchio, A. Bolzoni, A. Mapelli, A.B. Giannì, C. Sforza. - In: JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY. - ISSN 0278-2391. - 73:1(2015), pp. 184-193. [10.1016/j.joms.2014.07.043]

Stair ascent and descent in assessing donor site morbidity following osteocutaneous free fibula transfer : a preliminary study

A. Baj
Primo
;
N. Lovecchio
Secondo
;
A. Bolzoni;A. Mapelli;A.B. Giannì
Penultimo
;
C. Sforza
Ultimo
2015

Abstract

Purpose: We wanted to investigate the gait kinematic parameters during stairs ascent and descent after a fibula free flap (FFF) removal for facial reconstruction. Methods: Eight patients who underwent facial reconstruction with FFF ascended and descended three standard steps. Their movements were recorded by a motion analyzer; gait kinematic parameters were obtained and compared to those calculated in eight control subjects. Results: Stride time, percentage of swing and support phases did not differ among healthy or operated limb, and control subjects (Kruskal Wallis, p>0.05). 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 a significantly larger pelvis inclination than the control subjects (p<0.05). Conclusion: 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.
Fibula free flap; donor site morbidity; gait analysis; stairs; motion analysis
Settore BIO/16 - Anatomia Umana
Settore MED/29 - Chirurgia Maxillofacciale
Settore MED/34 - Medicina Fisica e Riabilitativa
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/238257
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