Patient-reported assessment of functional gait outcomes following superior gluteal artery perforator reconstruction

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.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.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
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