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Long-term follow-up of patients undergoing free tissue transfer to the lower limb following trauma

Gill, Dipender, Bruce, David J., Ponsford, Mark J., Cranley, James and Goodacre, Timothy E. 2013. Long-term follow-up of patients undergoing free tissue transfer to the lower limb following trauma. European Journal of Plastic Surgery 36 (7) , pp. 431-442. 10.1007/s00238-013-0826-3

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Background Free flap transfer reconstruction following severe lower limb trauma has become an increasingly used tool over the past four decades. However, little is known about the long-term outcome of these complex and costly procedures. The aim of this work is to assess the long-term outcomes in patients undergoing free flap transfer reconstruction of Gustillo IIIB lower limb injuries at the John Radcliffe Hospital, Oxford (UK). Methods Forty-two potential participants were identified and contacted after review of operation records between 1990 and 2000. Physical and psychosocial outcomes were assessed using SIP, WOMAC and study-specific questionnaires. Results Eighteen participants responded, with a median follow-up time of 14 years since reconstruction. Road traffic collisions were the most common cause of trauma (12/18). The majority of participants (13/18) had SIP physical and psychosocial sub-scores equivalent to the general population (<5), and half the participants reported normal function in the study specific questionnaire (9/18). Two participants reported SIP physical sub-scores of ≥20, implying severe physical disability, associated with higher pain and stiffness scores in the WOMAC and study-specific questionnaire. Conclusions The participants considered in this cohort generally have excellent long-term outcomes, in terms of function, aesthetic appearance and psychosocial well-being. The cohort presented here sets a standard by which other long-term studies can be measured.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: Springer
ISSN: 0930-343X
Date of First Compliant Deposit: 4 August 2021
Date of Acceptance: 11 March 2013
Last Modified: 28 Sep 2021 14:45

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