{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T20:27:32Z","timestamp":1768681652271,"version":"3.49.0"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,8,29]],"date-time":"2018-08-29T00:00:00Z","timestamp":1535500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Free flap surgery can be associated with donor\u2010site morbidity. The purpose of this study was to analyze long\u2010term functional outcomes at the donor site after deep circumflex iliac artery (DCIA) bone flap harvesting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fourteen patients (8 men and 6 women, mean age 53.9 years; range 22\u201387\u2009years) with mandible resection (8 carcinomas, 4 ameloblastomas, 1 osteonecrosis, and 1 myxofibroma) and DCIA flap reconstruction were included in an observational study. Ranges of motion in the hip and lumbar spine, Harris hip score (HHS), jumping mechanography, chair rising, and balance testing were performed on a ground force reaction plate (Leonardo Mechanograph, Novotec Medical GmbH, Germany). The primary outcome was the Esslinger fitness index (EFI, maximum peak power in W\/kg normalized to age and gender).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Functional assessment was performed preoperatively and 29.0 months postoperatively (range 12\u201351\u2009months). Mean DCIA flap length was 6.3 cm (range 3.3\u201310.1 cm). Jaw reconstruction was successful in all cases. HHS (99.2 vs. 97.7 points, <jats:italic>P<\/jats:italic> =\u2009.004) and all ranges of motion in the lumbar spine and hip joint except for dorsal extension were significantly reduced postoperatively (range \u22124\u00b0 to \u221211.0\u00b0). There was no significant difference between pre\u2010 and postoperative EFI (77.9% vs. 74.28%, <jats:italic>P<\/jats:italic> =\u2009.591) and body sway (1.25\u2009cm<jats:sup>2<\/jats:sup> vs. 2.01\u2009cm<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic> =\u2009.806). Sensory deficits (<jats:italic>n<\/jats:italic> = 5), load dependent pain (<jats:italic>n<\/jats:italic> = 3), and limitations of daily activities (<jats:italic>n<\/jats:italic> = 3) were subjective complaints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Functional donor site morbidity after DCIA harvesting can be expected to be low in the long\u2010term.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30358","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T11:55:25Z","timestamp":1535630125000},"page":"304-309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Evaluation of long\u2010term functional donor\u2010site morbidity after deep circumflex iliac crest artery bone flap harvest"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9565-7640","authenticated-orcid":false,"given":"Carsten","family":"Rendenbach","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9 \u2013 Universitaetsmedizin Berlin, Corporate Member of Freie Universitaet Berlin, Humboldt\u2010Universitaet zu Berlin, and Berlin Institute of Health  Berlin Germany"},{"name":"Berlin Institute of Health (BIH)  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedemann","family":"Goehler","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Hansen","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Kohlmeier","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Amling","sequence":"additional","affiliation":[{"name":"Institute of Osteology and Biomechanics University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7600-9181","authenticated-orcid":false,"given":"Henning","family":"Hanken","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedicta","family":"Beck\u2010Broichsitter","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9 \u2013 Universitaetsmedizin Berlin, Corporate Member of Freie Universitaet Berlin, Humboldt\u2010Universitaet zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Heiland","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9 \u2013 Universitaetsmedizin Berlin, Corporate Member of Freie Universitaet Berlin, Humboldt\u2010Universitaet zu Berlin, and Berlin Institute of Health  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjoern","family":"Riecke","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery University Medical Center Hamburg\u2010Eppendorf  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197907000-00006"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(83)80047-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-0503(83)80059-9"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"213","article-title":"Mechanography in childhood: References for force and power in counter movement jumps and chair rising tests","volume":"13","author":"Busche P.","year":"2013","journal-title":"Journal of Musculoskeletal & Neuronal Interactions"},{"key":"e_1_2_8_6_1","first-page":"113","article-title":"Assessment of musculoskeletal system in women with jumping mechanography","volume":"1","author":"Dionyssiotis Y.","year":"2010","journal-title":"International Journal of Womens Health"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1203\/01.pdr.0000191580.07644.1c"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2013.03.006"},{"issue":"4","key":"e_1_2_8_9_1","first-page":"480","article-title":"Intra\u2010 and inter\u2010rater reliability of jumping mechanography muscle function assessments","volume":"13","author":"Matheson L. 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