{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T21:15:26Z","timestamp":1770326126421,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,7,26]],"date-time":"2017-07-26T00:00:00Z","timestamp":1501027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The fibula free flap is the workhorse procedure for osseous reconstruction. The objective of this study was to investigate long\u2010term functional outcomes of the harvesting site.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>About 19 patients (10 male, 9 female, mean age 58.1 years) were available for the long\u2010term analysis 13\u201351 months after surgery. Jumping mechanography and balance testing on a ground force reaction plate (Leonardo Mechanograph GFRP) were performed before and surgery. The Esslinger Fitness Index (EFI, maximum peak power in W\/kg normalized for age and gender) was considered as primary endpoint. Secondary outcomes were maximum force, range of motion in the ankle joint, sensory limitations, the American Orthopedic Foot and Ankle Society Score (AOFAS\u2010Score), and subjective perceptions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found no significant difference between pre\u2010 and postoperative EFI (70.4% versus 66.0%, <jats:italic>P<\/jats:italic>\u2009=\u20090.07) and body sway (1.72 cm<jats:sup>2<\/jats:sup> versus 2.60 cm<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic>\u2009=\u20090.093). The AOFAS\u2010Score was reduced by 8.8 points (99.1 points versus 90.3 points, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Dorsal extenstion (31.6\u00b0 versus 24.1\u00b0, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and flexion (32.3 versus 25.6\u00b0 flexion, <jats:italic>P<\/jats:italic>\u2009=\u20090.011) were significantly reduced and 6 patients had chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reduced peak power and balance ability seem to be reversible short\u2010term effects after fibula harvesting. We recommend preoperative patient education and standardized protocols for physiotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30205","type":"journal-article","created":{"date-parts":[[2017,7,26]],"date-time":"2017-07-26T11:12:46Z","timestamp":1501067566000},"page":"395-401","source":"Crossref","is-referenced-by-count":26,"title":["Functional donor site morbidity longer than one year after fibula free flap: A prospective biomechanical analysis"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9565-7640","authenticated-orcid":false,"given":"Carsten","family":"Rendenbach","sequence":"first","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health Augustenburger Platz 1, Berlin 13353 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashkan","family":"Rashad","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Kohlmeier","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz L.","family":"Dyck","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Suling","sequence":"additional","affiliation":[{"name":"Department of Medical Biometry and Epidemiology University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre T.","family":"Assaf","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Amling","sequence":"additional","affiliation":[{"name":"Institute of Osteology and Biomechanics University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Heiland","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt\u2010Universit\u00e4t zu Berlin, and Berlin Institute of Health Augustenburger Platz 1, Berlin 13353 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Wikner","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf Martinistra\u00dfe 52, Hamburg 20246 Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjoern","family":"Riecke","sequence":"additional","affiliation":[{"name":"Department of Oral &amp; 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