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CompletedNCT01879384MTMUpdated Sep 19, 2025

Monitoring of Bone Free Flaps With Microdialysis

An interventional study of CMA 70 catheter directly positioned in bone tissue in Microsurgery, Head and Neck Reconstructive Surgery and Head and Neck Cancer, sponsored by Centre Hospitalier Universitaire, Amiens. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Centre Hospitalier Universitaire, Amiens · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Microdialysis is admitted to be reliable by numerous surgeons to monitor flaps. Nevertheless, a few authors reported follow up with microdialysis in bone flaps, and they all described the position of the catheter in the surrounding soft tissue muscle. This surrounding soft tissue is not always the reflect of bone vascularisation.

The aim is to study the feasibility of a follow up of microanastomosed bone flaps with microdialysis. To reach this goal, investigators perform a clinical prospective research project untitled MTM project

Read the detailed description

In addition to our classical clinical monitoring, bone microanastomosed flaps for reconstructive facial surgery will be monitored with CMA 70 catheter directly positioned in bone tissue.

The monitoring is recorded during 5 days. Glucose, lactate , pyruvate , glycerol rates will be analysed :

  • every hour at day 1,
  • every two hours at day 2,
  • every three hours at day 3,4 and 5.

Data are managed with Labpilot software.

02

Conditions studied

  • Microsurgery
  • Head and Neck Reconstructive Surgery
  • Head and Neck Cancer
  • Head and/or Neck Shotgun Trauma
  • Bone Free Flap

Keywords

  • microdialysis
  • bone free flap
  • head and neck
  • monitoring free flap
  • reconstructive surgery
03

In context

Head and Neck Neoplasms

2,344 studies on the registry are indexed under Head and Neck Neoplasms; 551 are open to participants now.

This study's enrollment of 34 is below the median of 47 across 1,751 interventional studies indexed under Head and Neck Neoplasms.

Browse Head and Neck Neoplasms studies →

Lead sponsor

Centre Hospitalier Universitaire, Amiens is the lead sponsor of 576 studies on the registry; 178 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • head and neck reconstruction with iliac crest or fibula free flaps
  • informed consent obtained

Exclusion criteria

Exclusion Criteria:

  • reconstruction with other types of free flaps
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Microdialysis with CMA 70 catheter

    CMA 70 catheter directly positioned in bone tissue

    Device: CMA 70 catheter directly positioned in bone tissue

Interventions

  • DeviceCMA 70 catheter directly positioned in bone tissue

    At the end of the surgery the CMA microdialysis catheter is placed inside the bone

06

What researchers measure

Primary outcomes

  1. Feasibility study of monitoring bone free flaps with microdialysis (catheter directly positioned in bone tissue)

    Success of microdialysis is defined as the collection and measurement of metabolites levels as: lactate, pyruvate,glycerol and glucose.

    Time frame: Day 5 after catheter insertion

Secondary outcomes

  1. Evaluation of "flush-out" period

    Time required to acquire interpretable data after opening microdialysis circuit

    Time frame: Day 5 after catheter insertion

  2. Compliance of the prescription

    Compliance rate of simples collected and analysed

    Time frame: Day 5 after catheter insertion

Other outcomes

  1. Delay of ischemia detection with metabolic parameters, compared to clinical symptoms

    Time between the occurrence of the first metabolic changes and the first clinical signs of tissue damage

    Time frame: from implantation time day 5

07

Study locations

1 site
  • Amiens University Hospital
    Amiens, Picardie 80054, France
08

References and documents

Publications

  • Abdel-Galil K, Mitchell D. Postoperative monitoring of microsurgical free-tissue transfers for head and neck reconstruction: a systematic review of current techniques--part II. Invasive techniques. Br J Oral Maxillofac Surg. 2009 Sep;47(6):438-42. doi: 10.1016/j.bjoms.2008.12.002. Epub 2009 Jan 19. PubMed 19155107 ↗
  • Benacquista T, Kasabian AK, Karp NS. The fate of lower extremities with failed free flaps. Plast Reconstr Surg. 1996 Oct;98(5):834-40; discussion 841-2. doi: 10.1097/00006534-199610000-00013. PubMed 8823023 ↗
  • Birke-Sorensen H, Toft G, Bengaard J. Pure muscle transfers can be monitored by use of microdialysis. J Reconstr Microsurg. 2010 Nov;26(9):623-30. doi: 10.1055/s-0030-1267382. Epub 2010 Oct 6. PubMed 20927696 ↗
  • Bogehoj M, Emmeluth C, Overgaard S. Blood flow and microdialysis in the human femoral head. Acta Orthop. 2007 Feb;78(1):56-62. doi: 10.1080/17453670610013420. PubMed 17453393 ↗
  • Brix M, Muret P, Ricbourg B, Humbert P. [Monitoring free flaps with cutaneous microdialysis: preliminary study in oral cavity reconstruction]. Rev Stomatol Chir Maxillofac. 2006 Dec;107(6):460-4. doi: 10.1016/s0035-1768(06)77088-7. French. PubMed 17195000 ↗
  • Bui DT, Cordeiro PG, Hu QY, Disa JJ, Pusic A, Mehrara BJ. Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg. 2007 Jun;119(7):2092-2100. doi: 10.1097/01.prs.0000260598.24376.e1. PubMed 17519706 ↗
  • Delgado JM, DeFeudis FV, Roth RH, Ryugo DK, Mitruka BM. Dialytrode for long term intracerebral perfusion in awake monkeys. Arch Int Pharmacodyn Ther. 1972;198(1):9-21. No abstract available. PubMed 4626478 ↗
  • Ferguson REH Jr, Yu P. Techniques of monitoring buried fasciocutaneous free flaps. Plast Reconstr Surg. 2009 Feb;123(2):525-532. doi: 10.1097/PRS.0b013e318196b9a3. PubMed 19182610 ↗
  • Holzle F, Rau A, Loeffelbein DJ, Mucke T, Kesting MR, Wolff KD. Results of monitoring fasciocutaneous, myocutaneous, osteocutaneous and perforator flaps: 4-year experience with 166 cases. Int J Oral Maxillofac Surg. 2010 Jan;39(1):21-8. doi: 10.1016/j.ijom.2009.10.012. Epub 2009 Nov 26. PubMed 19944567 ↗
  • Jallali N, Ridha H, Butler PE. Postoperative monitoring of free flaps in UK plastic surgery units. Microsurgery. 2005;25(6):469-72. doi: 10.1002/micr.20148. PubMed 16134095 ↗
  • Jyranki J, Suominen S, Vuola J, Back L. Microdialysis in clinical practice: monitoring intraoral free flaps. Ann Plast Surg. 2006 Apr;56(4):387-93. doi: 10.1097/01.sap.0000205231.39853.87. PubMed 16557069 ↗
  • Laure B, Sury F, Bayol JC, Goga D. [Microdialysis: experience in postoperative monitoring of 30 free flaps]. Ann Chir Plast Esthet. 2009 Feb;54(1):29-36. doi: 10.1016/j.anplas.2008.05.008. Epub 2008 Nov 29. French. PubMed 19042067 ↗
  • Mourouzis C, Anand R, Bowden JR, Brennan PA. Microdialysis: use in the assessment of a buried bone-only fibular free flap. Plast Reconstr Surg. 2007 Oct;120(5):1363-1366. doi: 10.1097/01.prs.0000279555.75241.4c. No abstract available. PubMed 17898613 ↗
  • Rojdmark J, Blomqvist L, Malm M, Adams-Ray B, Ungerstedt U. Metabolism in myocutaneous flaps studied by in situ microdialysis. Scand J Plast Reconstr Surg Hand Surg. 1998 Mar;32(1):27-34. doi: 10.1080/02844319850158921. PubMed 9556818 ↗
  • Setala L, Papp A, Romppanen EL, Mustonen P, Berg L, Harma M. Microdialysis detects postoperative perfusion failure in microvascular flaps. J Reconstr Microsurg. 2006 Feb;22(2):87-96. doi: 10.1055/s-2006-932502. PubMed 16456768 ↗
  • Setala LP, Korvenoja EM, Harma MA, Alhava EM, Uusaro AV, Tenhunen JJ. Glucose, lactate, and pyruvate response in an experimental model of microvascular flap ischemia and reperfusion: a microdialysis study. Microsurgery. 2004;24(3):223-31. doi: 10.1002/micr.20045. PubMed 15160382 ↗
  • Smit JM, Zeebregts CJ, Acosta R, Werker PMN. Advancements in free flap monitoring in the last decade: a critical review. Plast Reconstr Surg. 2010 Jan;125(1):177-185. doi: 10.1097/PRS.0b013e3181c49580. PubMed 20048610 ↗
  • Stolle LB, Arpi M, Jorgensen PH, Riegels-Nielsen P, Keller J. In situ gentamicin concentrations in cortical bone: an experimental study using microdialysis in bone. Acta Orthop Scand. 2003 Oct;74(5):611-6. doi: 10.1080/00016470310018045. PubMed 14620985 ↗
  • Ungerstedt U, Rostami E. Microdialysis in neurointensive care. Curr Pharm Des. 2004;10(18):2145-52. doi: 10.2174/1381612043384105. PubMed 15281890 ↗
  • Dakpe S, Colin E, Bettoni J, Davrou J, Diouf M, Devauchelle B, Testelin S. Intraosseous microdialysis for bone free flap monitoring in head and neck reconstructive surgery: A prospective pilot study. Microsurgery. 2020 Mar;40(3):315-323. doi: 10.1002/micr.30529. Epub 2019 Oct 22. PubMed 31638286 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01879384
Lead sponsor
Centre Hospitalier Universitaire, Amiens
Collaborators
Regional Council Picardie
Responsible party
Sponsor
First posted
Jun 17, 2013
Start date
Feb 2011
Primary completion
May 2013
Completion
Jun 2013
Last update
Sep 19, 2025

Study contacts

Bernard DEVAUCHELLE, MD, phD
principal investigator · Amiens University Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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