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Updated: Sep 13, 2025
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Postoperative functional training program for vascularised Iliac flap donor site in jaw defect reconstruction based
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, No. 22 Zhongguancun South Avenue, Haidian District, Beijing, 100081, China.
A new progressive functional training (PFT) protocol for vascularised iliac flaps (VIFs) significantly improves lower limb function and reduces pain after jaw reconstruction. This evidence-based approach addresses limitations of traditional hip rehabilitation, enhancing patient recovery.
Area of Science:
- Reconstructive surgery
- Orthopedic rehabilitation
- Evidence-based practice
Background:
- Vascularised iliac flaps (VIFs) are crucial for jawbone defect reconstruction.
- Postoperative gait disturbances and donor-site complications significantly impact patient recovery (13.9-50%).
- Existing hip surgery rehabilitation guidelines are inadequate for VIF patients.
Purpose of the Study:
- To develop and evaluate an evidence-based, progressive functional training (PFT) protocol for VIF donor sites.
- To address the lack of specific rehabilitation guidelines following VIF procedures.
- To improve functional recovery and reduce donor-site morbidity.
Main Methods:
- The Delphi method was used with 20 multidisciplinary experts over three rounds.
- A literature review and postoperative mobility assessments informed protocol development.
- A phased, individualized PFT protocol was created, incorporating dynamic evaluation and muscle activation strategies.
Main Results:
- A single-centre randomized controlled trial (n=62) showed PFT significantly accelerated lower limb recovery.
- PFT improved hip mobility, balance, and quality of life (UW-QOL, P<0.001).
- No increase in flap vascular compromise or iliac hematoma was observed.
Conclusions:
- The developed PFT protocol is effective for VIF donor-site rehabilitation.
- This protocol offers a foundational framework for clinical practice and future research.
- Further multicentre studies are needed to validate and enhance adaptability.
