Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating a new dressing system for skin grafts after fibula free flap surgery

Official title: Evaluation of the PICO® Negative Pressure Dressing System on the Fibula Free Flap Donor Site's Skin Graft.

Run by University Hospital, Montpellier · NCT04628416 · Data updated 2026-11-12

This study is testing if a new type of dressing can help skin grafts heal better after surgery for people getting a fibula free flap.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment112 (estimated)
SponsorUniversity Hospital, Montpellier
Academic / other
Locations1 site (Montpellier)
StatusRecruiting
StartedJanuary 18, 2021
Main results expectedJanuary 2026
Study endsDecember 2026
Registry record updatedDecember 18, 2023
Trial IDNCT04628416 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 years old who require a fibula free flap with a skin paddle and need a skin graft for donor site closure.

Probably not a fit

Patients with contraindications for a fibula free flap or negative pressure therapy, as well as those unable to provide informed consent, may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to assess the effectiveness of the PICO® negative pressure dressing system on the healing of skin grafts at the donor site of fibula free flaps. The study will compare the outcomes of patients using the PICO® dressing to those using a conventional dressing method. It involves a prospective randomized evaluation, where patients requiring a fibula free flap for reconstruction will be enrolled and monitored postoperatively. The goal is to determine if the PICO® dressing can reduce the rate of graft loss due to local devascularization.

Why it matters

Potential benefit: If successful, this study could lead to improved healing outcomes for patients undergoing fibula free flap surgeries.

How similar studies have gone: Other studies have shown promising results with negative pressure dressings in various surgical contexts, suggesting potential success for this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients over 18 years old
* Any patient requiring a fibula free flap with skin paddle
* Theoretical need of a skin graft for the closure of the donor site (evaluated by the surgeon in charge of the patient at the time of inclusion) and performed at the same time as the fibula flap
* Signature of informed consent.

Exclusion Criteria:

* Contraindication to making a fibula free flap:

  * anesthetic contraindication,
  * atheroma in the leg arteries obstructing more than 60% of the arterial lumen (objectified by CT angiography of lower limbs)
* Contraindication to the setting up of a negative pressure therapy:

  * allergy to one of the PICO® components
  * infection in the donor area
  * cutaneous lesions of the lower limb preventing the placement of an occlusive dressing or making it impossible to seal the device
* No affiliation to a social security scheme.
* Minor or major patients who are protected or unable to give their consent (according to article L1121-8 of the Public Health Code (PHC))
* Pregnant or lactating women (according to article L1121-5 of the PHC)
* Vulnerable people (according to article L1121-6 of the PHC)

Where it's running

  • Marie DE BOUTRAY
    Montpellier, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.