Safety of fibula free flap in patients following total knee replacement

Brianna N Harris; Shabnam Ghazizadeh; Rodrigo Bayon; Alexandra E Kejner; Steven B Cannady; Benjamin J Greene; Andrew T Huang; Joseph Curry; Keith E Blackwell; Yadranko Ducic; Mark K Wax

doi:10.1002/hed.26519

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Safety of fibula free flap in patients following total knee replacement

Journal article

Peer reviewed

Safety of fibula free flap in patients following total knee replacement

Brianna N Harris, Shabnam Ghazizadeh, Rodrigo Bayon, Alexandra E Kejner, Steven B Cannady, Benjamin J Greene, Andrew T Huang, Joseph Curry, Keith E Blackwell, Yadranko Ducic, …

Head & neck, Vol.43(2), pp.585-589

02/2021

DOI: 10.1002/hed.26519

PMID: 33089587

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Abstract

Fibula free flap (FFF) is the preferred osteocutaneous flap for reconstruction of large head and neck composite defects. There is a paucity of data whether FFF can be performed safely in patients with knee replacement (total knee arthroplasty [TKA]). Multi-institutional review of outcomes following FFF in patients who had prior TKA. Ten surgeons reported successful FFF in 53 patients with prior TKA. The most common preoperative imaging was a CT angiogram of the bilateral lower extremities. There was no evidence of intraoperative vascular abnormality. Physical therapy began between postoperative day 1 to postoperative day 3. At 1 month postoperatively, 40% of patients were using a cane or walker to ambulate, but by 3 months all had returned to baseline ambulatory status. At >1 year, there were no gait complications. FFF appears safe in patients with prior knee replacement without an increased risk of complications compared to baseline.

Arthroplasty, Replacement, Knee

Fibula - surgery

Free Tissue Flaps

Humans

Postoperative Complications - epidemiology

Reconstructive Surgical Procedures

Retrospective Studies

Details

Title: Subtitle: Safety of fibula free flap in patients following total knee replacement
Creators: Brianna N Harris - Scripps Health
Shabnam Ghazizadeh - University of California, Los Angeles
Rodrigo Bayon - University of Iowa
Alexandra E Kejner - University of Kentucky
Steven B Cannady - University of Pennsylvania
Benjamin J Greene - University of Alabama at Birmingham
Andrew T Huang - Baylor College of Medicine
Joseph Curry - Thomas Jefferson University
Keith E Blackwell - University of California, Los Angeles
Yadranko Ducic - Facial Plastics Surgery Associates
Mark K Wax - Oregon Health & Science University
Resource Type: Journal article
Publication Details: Head & neck, Vol.43(2), pp.585-589
DOI: 10.1002/hed.26519
PMID: 33089587
ISSN: 1043-3074
eISSN: 1097-0347
Language: English
Date published: 02/2021
Academic Unit: Otolaryngology
Record Identifier: 9984311447002771

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