کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3167727 | 1199377 | 2010 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Donor site morbidity after bone harvesting from the anterior iliac crest Donor site morbidity after bone harvesting from the anterior iliac crest](/preview/png/3167727.png)
ObjectivesAutologous bone grafting is a common, standard procedure in maxillofacial surgery. We investigated complications of harvesting bone from the anterior iliac crest.Study designA retrospective analysis with a 2-year observational period included 75 patients who had undergone iliac bone grafting. Two techniques were examined: the closed osteotomy using a cylinder osteotome (Shepard) and an open procedure with a saw.ResultsOne major complication, a fracture of the anterior superior iliac spine, was observed (0.7%). Regarding long-term morbidity, 3 patients (4%) suffered from persistent pain and 2 (2.7%) from persistent sensory disturbance. A correlation by gender showed greater severity of pain directly after graft harvesting in women (PWilcoxon ≤ .001). Harvesting of corticocancellous blocks caused more pain than with the cylinder osteotome (PMedian ≤ .07).ConclusionThe morbidity after iliac crest harvesting was found to be moderate to low, but the procedure is still necessary and frequently used.
Journal: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology - Volume 109, Issue 1, January 2010, Pages 52–58