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dc.contributor.authorHur, Kevin
dc.contributor.authorOhkuma, Rika
dc.contributor.authorBellamy, Justin L.
dc.contributor.authorYamazaki, Michiyo
dc.contributor.authorManahan, Michele A.
dc.contributor.authorRad, Ariel N.
dc.contributor.authorCooney, Damon S.
dc.contributor.authorRosson, Gedge D.
dc.date.accessioned2015-02-25T19:33:41Z
dc.date.available2015-02-25T19:33:41Z
dc.date.issued2013-08-14
dc.identifier.citationdoi:10.1097/GOX.0b013e3182a3329fen_US
dc.identifier.issn2169-7574
dc.identifier.urihttp://jhir.library.jhu.edu/handle/1774.2/37329
dc.descriptionPMCID: PMC4174196en_US
dc.description.abstractBACKGROUND: Harvesting the superior gluteal artery perforator (SGAP) flap involves dissection of vessels through the gluteal muscle, potentially compromising gait and ambulation. We compared patient-reported gait and ambulation problems between SGAP flap and deep inferior epigastric perforator (DIEP) flap reconstructions. METHODS: Forty-three patients who underwent bilateral free flap breast reconstruction (17 SGAP, 26 DIEP) participated in the study. The Lower Extremity Functional Score (LEFS) was administered with a supplementary section evaluating gait, balance, fatigue, and pain. Patients evaluated how they felt 2 months postoperatively and at time of survey administration. Multivariate regressions were fit to assess association between type of reconstruction and self-reported lower extremity function controlling for potential confounding factors. RESULTS: Although there was no significant difference in overall LEFS between the cohorts on the date of survey, the SGAP patients reported greater difficulty performing the following activities after surgery (P < 0.05): work, usual hobbies, squatting, walking a mile, walking up stairs, sitting for an hour, running, turning, and hopping. The SGAP patients also reported easier fatigue (P < 0.01) both during the early postoperative period and on the date of survey. CONCLUSIONS: SGAP flap surgery causes no statistically significant differences in overall LEFS. However, SGAP patients did report donor-site morbidity with decreased ability to perform certain activities and increased fatigue and pain in the longer follow-up period. We feel that patients should be educated regarding gait issues and undergo physical therapy during the early postoperative period.en_US
dc.description.sponsorshipJH Libraries Open Access Funden_US
dc.language.isoen_USen_US
dc.publisherAmerican Society of Plastic Surgeonsen_US
dc.relation.ispartofseriesPlastic and Reconstructive Surgery : Global Open;v. 1 no. 5 e31
dc.subjectBreast Reconstructionen_US
dc.subjectLower Extremity Functional Score (LEFS)en_US
dc.subjectSuperior Gluteal Artery Perforator (SGAP)en_US
dc.subjectSurgical Flapsen_US
dc.titlePatient-reported assessment of functional gait outcomes following superior gluteal artery perforator reconstructionen_US
dc.typeArticleen_US


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