Article: Ankle-arm index as a screening examination for fibula free tissue transfer

The frequent use of the fibula free flap for mandibular reconstruction has served as an impetus to develop a screening test for this flap. This would detect lower leg vascular disease that could jeopardize the flap or donor extremity. Data would allow a decision whether to pursue further lower leg imaging versus consideration of an alternative donor site. The ankle-arm index (AAI) was determined on a prospective series of 62 patients being considered for fibula free flap transfer. An AAI of less than 1.0 was found to be predictive of a high rate of lower leg vascular disease (by color flow Doppler imaging) that would jeopardize the flap or donor extremity. The AAI did not detect anomalous ...

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