Biomechanical study of prophylactic internal fixation of the radial osteocutaneous donor site using the sheep tibia model

British Journal of Oral and Maxillofacial Surgery

Volumn 45, Issue 6, 2007, Pages 441-446

  Avery, C M E ^a   Best, A ^a   Patterson, P ^a   Rolton, J ^b   Ponter, A R S ^b  

^a UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST   (United Kingdom)

^b UNIVERSITY OF LEICESTER   (United Kingdom)

Author keywords

Donor site; Fracture; Free flap; Internal fixation; Morbidity; Plate; Radius

Indexed keywords

ANIMAL TISSUE; ARTICLE; BIOMECHANICS; BONE PLATE; BONE STRENGTH; CLINICAL PRACTICE; CONTROLLED STUDY; DONOR SITE; EXPERIMENTAL MODEL; NONHUMAN; OSTEOCUTANEOUS FLAP; OSTEOSYNTHESIS; RADIUS FRACTURE; SHEEP; TIBIA OSTEOTOMY; TIBIA TORSION; WEIGHT BEARING;

ANALYSIS OF VARIANCE; ANIMALS; BIOMECHANICS; BONE PLATES; BONE TRANSPLANTATION; HUMANS; MODELS, ANIMAL; OSTEOTOMY; PLIABILITY; RADIUS; RADIUS FRACTURES; SHEEP, DOMESTIC; SURGICAL FLAPS; TIBIA; TIBIAL FRACTURES; TISSUE AND ORGAN HARVESTING; TORSION;

EID: 34547611560     PISSN: 02664356     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bjoms.2006.10.010     Document Type: Article

References (25)

1. Bowers K.W., Edmonds J.L., Girod D.A., Jayaraman G., Chua C.P., and Toby E.B. Osteocutaneous radial forearm free flaps. The necessity of internal fixation of the donor-site defect to prevent pathological fracture. J Bone Joint Surg 82(A) (2000) 694-704
2. Thoma A., Khadaroo R., Grigenas O., Archibald S., Jackson S., Young J.E., et al. Oromandibular reconstruction with the radial-forearm osteocutaneous flap: experience with 60 consecutive cases. Plast Reconstr Surg 104 (1999) 368-380
3. Clark S., Greenwood M., Banks R.J., and Parker R. Fracture of the radial donor site after composite free flap harvest: a 10-year review. Surgeon 2 (2004) 281-286
4. Markolf K.L., Lamey D., Yang S., Meals R., and Hotchkiss R. Radioulnar load-sharing in the forearm. A study in cadaveras. J Bone Joint Surg 80(A) (1998) 879-888
5. Swanson E., Boyd J.B., and Mulholland R.S. The radial forearm flap: a biomechanical study of the osteotomized radius. Plast Reconstr Surg 85 (1990) 267-272
6. Meland N.B., Maki S., Chao E.Y., and Rademaker B. The radial forearm flap: a biomechanical study of donor-site morbidity utilizing sheep tibia. Plast Reconstr Surg 90 (1992) 763-773
7. Timmons M.J., Missotten F.E., Poole M.D., and Davies D.M. Complications of radial forearm flap donor sites. Br J Plast Surg 39 (1986) 176-178
8. Frankel V.H., and Burstein A.H. Load capacity of tubular bone. In: Kenedi R.M. (Ed). Biomechanics and related bioengineering topics (1965), Pergamon, New York 381-396
9. Clark C.R., Morgan C., Sonstegard D.A., and Matthews L.S. The effect of biopsy-hole shape and size on bone strength. J Bone Joint Surg 59(A) (1977) 213-217
10. Hipp J.A., Edgerton B.C., An K.N., and Hayes W.C. Structural consequences of transcortical holes in long bones loaded in torsion. J Biomech 23 (1990) 1261-1268
11. Nunez V.A., Pike J., Avery C., Rosson J.W., and Johnson P. Prophylactic plating of the donor site of osteocutaneous radial forearm flaps. Br J Oral Maxillofac Surg 37 (1999) 210-212
12. Villaret D.B., and Futran N.A. The indications and outcomes in the use of osteocutaneous radial forearm free flap. Head Neck 25 (2003) 475-481
13. Kim J.H., Rosenthal E.L., Ellis T., and Wax M.K. Radial forearm osteocutaneous free flap in maxillofacial and oromandibular reconstructions. Laryngoscope 115 (2005) 1697-1701
14. Werle A.H., Tsue T.T., Toby E.B., and Girod D.A. Osteocutaneous radial forearm free flap: its use without significant donor site morbidity. Otolaryngol Head Neck Surg 123 (2000) 711-717
15. Militsakh O.N., Werle A., Mohyuddin N., Toby E.B., Kriet J.D., Wallace D.I., et al. Comparison of radial forearm with fibula and scapula osteocutaneous free flaps for oromandibular reconstruction. Arch Otolaryngol Head Neck Surg 131 (2005) 571-575
16. Rimnac C.M., Wright T.M., and McGill D.L. The effect of centrifugation on the fracture properties of acrylic bone cements. J Bone Joint Surg 68(A) (1986) 281-287
17. Soutar D.S., Scheker L.R., Tanner N.S., and McGregor I.A. The radial forearm flap: a versatile method for intra-oral reconstruction. Br J Plast Surg 36 (1983) 1-8
18. Urken M.L., Sullivan M.L., and Biller H.F. Radial forearm. In: Urken M. (Ed). Atlas of regional and free flaps for head and neck reconstruction (1995), Raven, New York 149-168
19. Wittkampf A.R., and Starmans F.J. Prevention of mandibular fractures by using constructional design principles. I. Computer simulation of human mandibular strength after segmental resections. Int J Oral Maxillofac Surg 24 (1995) 306-310
20. Wittkampf A.R., Wittkampf F.H., and van den Braber W. Prevention of mandibular fractures by using constructional design principles. II. A tension strength test on beagle mandibles with two different types of segmental resections. Int J Oral Maxillofac Surg 24 (1995) 311-312
21. Perren S.M. Basic aspects of internal fixation. In: Muller M.E., Allgower M., Schneider R., and Willenegger H. (Eds). Manual of internal fixation. 3rd ed. (1991), Springer, Berlin 1-158
22. Wright T.M., and Li S.L. Principles and methods. In: Buckwalter J., Einhorn T., and Simon S. (Eds). Orthopaedic basic science: biology and biomechanics of the musculoskeletal system. 2nd ed. (2000), American Academy of Orthopaedic Surgeons, Rosemont 181-215
23. Uhthoff H.K., Bardos D.I., and Liskova-Kiar M. The advantages of titanium alloy over stainless steel plates for the internal fixation of fractures. An experimental study in dogs. J Bone Joint Surg 63(B) (1981) 427-484
24. Brooks D.B., Burstein A.H., and Frankel V.H. The biomechanics of torsional fractures. The stress concentration effect of a drill hole. J Bone Joint Surg 52(A) (1970) 507-514
25. Avery C, Danford M, Johnson PA. Prophylactic internal fixation of the radial osteocutaneous donor site. Br J Oral Maxillofac Surg, 2006, doi:10.1016/j.bjoms.2006.08.025, in press.