Are hand biomechanics affected following radial forearm flap harvest? A systematic review and meta-analysis. Issue 1 (January 2021)
- Record Type:
- Journal Article
- Title:
- Are hand biomechanics affected following radial forearm flap harvest? A systematic review and meta-analysis. Issue 1 (January 2021)
- Main Title:
- Are hand biomechanics affected following radial forearm flap harvest? A systematic review and meta-analysis
- Authors:
- Mashrah, M.A.
Aldhohrah, T.A.
Abdelrehem Moustafa, A.
Al-Sharani, H.M.
Alrmali, A.
Wang, L. - Abstract:
- Abstract: Donor site morbidity following radial forearm flap (RFF) harvest remains a controversial issue. The aim of this meta-analysis was to answer the question "Are the range of wrist movements (range of motion, ROM) and hand strength affected after RFF harvesting?" The PubMed, Embase, Scopus, and Cochrane Library electronic databases were systematically searched (to December 2019). Self-controlled studies evaluating hand biomechanics after RFF harvest were included. Weighted mean differences with 95% confidence intervals were calculated using the random-effects model. The outcome variables were ROM, forearm movements, grip, and pinch strengths. Thirteen studies involving a total of 335 patients were included. With the exception of grip strength and supination, which showed statistically significant reductions of about 2.40 kg and 2.86° ( P < 0.05), all other ROM, forearm movements, and pinch strengths showed an insignificant difference when the operated hand was compared to the non-operated hand ( P > 0.05). Regression analysis showed that the method of donor site closure and size of the donor site defect had an insignificant impact on hand biomechanics. This study confirms the lack of discernible biomechanical morbidity after RFF transfer. The minimal reduction in hand biomechanics after RFF is considered to be clinically negligible.
- Is Part Of:
- International journal of oral & maxillofacial surgery. Volume 50:Issue 1(2021)
- Journal:
- International journal of oral & maxillofacial surgery
- Issue:
- Volume 50:Issue 1(2021)
- Issue Display:
- Volume 50, Issue 1 (2021)
- Year:
- 2021
- Volume:
- 50
- Issue:
- 1
- Issue Sort Value:
- 2021-0050-0001-0000
- Page Start:
- 21
- Page End:
- 31
- Publication Date:
- 2021-01
- Subjects:
- radial forearm flap -- donor site morbidity -- range of wrist movements -- hand biomechanics -- grip strength -- pinch strength
Mouth -- Surgery -- Periodicals
Maxilla -- Surgery -- Periodicals
Dentistry -- Periodicals
Dentistry, Operative
Oral Surgical Procedures
Surgery, Oral
Dentistry
Maxilla -- Surgery
Mouth -- Surgery
Electronic journals
Periodicals
617.52059 - Journal URLs:
- http://www.blackwell-synergy.com/member/institutions/issuelist.asp?journal=ijo ↗
http://www.sciencedirect.com/science/journal/09015027 ↗
http://www.clinicalkey.com/dura/browse/journalIssue/09015027 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/09015027 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.ijom.2020.06.016 ↗
- Languages:
- English
- ISSNs:
- 0901-5027
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4542.429800
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 23102.xml