[Functional follow-up of combined musculocutaneous tensor fasciae latae and rectus femoris flap repair. Supplementary information on the Handchir. Mikrochir. Plast. Chir. 21 (1989) 315-317 contribution]

Handchir Mikrochir Plast Chir. 1994 Mar;26(2):84-90.
[Article in German]

Abstract

As a supplement to our publication in the Journal Handchirurgie, Mikrochirurgie, Plastische Chirurgie 21 (1989) 315-317, we would like to report a five-year follow up of a patient with recurrent sigmoid carcinoma, infiltrating all layers of the abdominal wall. Treatment was by radical tumor excision and reconstruction with a combined tensor fasciae latae and rectus femoris flap. Abdominal wall, hip, and knee functions were evaluated by gait-analysis (Motion Analysis Corporation AMTI) and dynamometry (Cybex 6000). The dynamometry of knee motion showed a slight deficit of the operated side regarding the parameters of strength-endurance as well as work-recovery. All other parameters (peak-torque) were equal for both sides corresponding to the activities of daily living of the patient. Gait-analysis showed a reduced rotation of the pelvis as well as a functional deficit of extension of the knee during stance and swing phase. We can document a good functional result in all motions without major impairment of every-day activities.

Publication types

  • Case Reports
  • Comment
  • English Abstract

MeSH terms

  • Abdominal Muscles / surgery*
  • Adenocarcinoma / surgery*
  • Adult
  • Colectomy
  • Colostomy
  • Follow-Up Studies
  • Gait / physiology*
  • Hip Joint / physiopathology
  • Humans
  • Isometric Contraction / physiology
  • Knee Joint / physiopathology
  • Male
  • Microsurgery / methods
  • Neoplasm Recurrence, Local / surgery*
  • Physical Endurance / physiology
  • Postoperative Complications / physiopathology*
  • Range of Motion, Articular / physiology*
  • Sigmoid Neoplasms / surgery*
  • Surgical Flaps / methods*
  • Surgical Flaps / physiology