title: [Baropodometric analysis of the functional donor-site morbidity after gastrocnemius or soleus muscle-flap procedure].
abstract: The triceps surae muscle is a major donor-site for muscle-flap to cover soft-tissue defects of the leg. There are very limited datas on the functional donor-site morbidity in the literature. From a retrospective study on 14 patients, we realized a baropodometric analysis comparing the operated lower limb with the healthy non operated side and a functional evaluation by a questionary. The modified functional score of Kitatoka was good (87/100). Ninety percent of the patients were able to resume a professional activity and 2/3 to resume the sport. The baropodometric analysis did not show statistically significant difference of propulsion and absorption between the healthy side and the operated side, but a modification of the programming of the step. The absence of important functional donor-site morbidity is probably bound to a compensation of the remaining triceps surae muscles and/or to mechanisms of adaptation. Our study confirms the little functional donor-site morbidity of the partial triceps surae muscle-flap procedure. These flaps remain a good solution for the coverage of the soft-tissue defects of the leg.
authors: EA innovation, imagerie, ingénierie et intervention en santé, IFR, Inserm, service d'orthopédie, de traumatologie, de chirurgie plastique, reconstructrice et assistance main, pôle innovation et technique chirurgicale, Besançon, France. lasserreguillaume@gmail.com
authors: G
authors: G
authors: Lasserre
authors: J-Y
authors: JY
authors: Cornu
authors: C
authors: C
authors: Vidal
authors: C
authors: C
authors: Laveaux
authors: D
authors: D
authors: Lepage
authors: L
authors: L
authors: Obert
authors: J
authors: J
authors: Pauchot
authors: Y
authors: Y
authors: Tropet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D005528:Foot / Q000502:physiology; D005684:Gait / Q000502:physiology; D006801:Humans; D007866:Leg / Q000502:physiology / Q000601:surgery; D007867:Leg Bones / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000502:physiology / Q000637:transplantation*; D009790:Occupations; D011312:Pressure; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D013177:Sports; D013524:Surgical Flaps / Q000502:physiology*; D020858:Tissue and Organ Harvesting; D016138:Walking / Q000502:physiology; D016474:Weight-Bearing / Q000502:physiology; D055815:Young Adult