In Scaphoid Non-Union, Does the Source of Graft Affect Outcome? Iliac Crest Versus Distal End of Radius Bone Graft

2006 ◽  
Vol 31 (1) ◽  
pp. 47-51 ◽  
Author(s):  
A. D. TAMBE ◽  
L. CUTLER ◽  
S. R. MURALI ◽  
I. A. TRAIL ◽  
J. K. STANLEY
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Bone Grafts ◽  
Biomechanical Properties ◽  
Osteogenic Potential ◽  
Iliac Crest Bone Graft ◽  
Non Union ◽  
Treatment Groups ◽  
Donor Site Pain

Iliac crest bone grafts are sometimes preferred to other bone grafts for the treatment of non-unions of fractures of the scaphoid as they are claimed to have better osteogenic potential and biomechanical properties. We retrospectively studied a consecutive cohort of 68 symptomatic established scaphoid non-unions treated by bone grafting. An iliac crest graft was used in 44 cases and a distal radius graft in the other 24. The two treatment groups were comparable in terms of location of the fracture, duration of the non-union and the fixation implants used. Overall union was achieved in 45 of the 68 patients (66%) and the union rate was not influenced by the type of bone graft used. Twenty-nine of the 44 treated with iliac crest bone graft (66%) and 16 of the 24 (67%) treated with distal radial graft united. Donor site pain over the iliac crest was present in nine of the 44 patients in this group.

The Evaluation of Donor Site Pain After Harvest of Tricortical Anterior Iliac Crest Bone Graft for Spinal Surgery

Spine ◽  
2016 ◽  
Vol 41 (4) ◽  
pp. E191-E196 ◽  
Author(s):  
Sheyan J. Armaghani ◽  
Jesse L. Even ◽  
Emily K. Zern ◽  
Brett A. Braly ◽  
James D. Kang ◽  
...  
Keyword(s):  
Bone Graft ◽  
Spinal Surgery ◽  
Iliac Crest ◽  
Donor Site ◽  
Iliac Crest Bone Graft ◽  
Donor Site Pain ◽  
Site Pain

Distal Tibia Bone Graft for Arthrodesis of the Foot and Ankle

1995 ◽  
Vol 16 (4) ◽  
pp. 187-190 ◽  
Author(s):  
Marc B. Danziger ◽  
Richard V. Abdo ◽  
J. Elliot Decker
Keyword(s):  
Bone Graft ◽  
Disease Transmission ◽  
Donor Site ◽  
Distal Tibia ◽  
Iliac Crest Bone Graft ◽  
Heterotopic Bone ◽  
Heterotopic Bone Formation ◽  
Foot And Ankle ◽  
Ankle Motion ◽  
Donor Site Pain

Forty patients since 1988 have had distal tibial bone grafting for 41 arthrodeses of the foot and ankle. Bone graft is obtained through a cortical window made just above the medial metaphyseal distal tibial flare. Average follow-up was 23.3 months. Forty of 41 arthrodesis sites fused; there was only one nonunion. There were no delayed unions. There were no complications at the donor site based on patient examination and radiographs. Ipsilateral ankle motion was not affected by the bone graft procedure. Cited complications from iliac crest bone graft include donor site pain, blood loss, heterotopic bone formation, pelvic instability, iliac hernia, infection, fracture, and deformity. Complications with allografts include disease transmission and immune response. These are avoided by using locally obtained distal tibia autograft for arthrodeses in the foot and ankle.

Patients Cannot Reliably Distinguish the Iliac Crest Bone Graft Donor Site From the Contralateral Side After Lumbar Spine Fusion

Spine ◽  
2019 ◽  
Vol 44 (8) ◽  
pp. 527-533 ◽  
Author(s):  
A. Mechteld Lehr ◽  
F. Cumhur Oner ◽  
Eric A. Hoebink ◽  
Diederik H.R. Kempen ◽  
Job L.C. van Susante ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Contralateral Side ◽  
Spine Fusion ◽  
Iliac Crest Bone Graft ◽  
Lumbar Spine Fusion ◽  
Graft Donor

A Comparison of Shepard's Osteotome versus Trapdoor Flap Technique to Harvest Iliac Crest Bone for Secondary Alveolar Bone Grafting

2008 ◽  
Vol 45 (4) ◽  
pp. 347-352 ◽  
Author(s):  
J. Constantinides ◽  
P. Chhabra ◽  
P. J. Turner ◽  
B. Richard
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Alveolar Bone ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Iliac Crest Bone Graft ◽  
Open Technique ◽  
Flap Technique ◽  
Graft Harvest ◽  
Alveolar Bone Grafting

Objective: To compare the postoperative donor site morbidity and alveolar bone graft results following two different techniques for iliac crest bone graft harvest: a closed (Shepard's osteotome) and an open (trapdoor flap) technique. Design: A retrospective review of two cohorts of alveolar bone grafts performed from 1998 to 2004 in Birmingham Children's Hospital by two surgeons using different harvest techniques. Medical and nursing anesthetic notes and medication charts were reviewed. Alveolar bone graft results were assessed using preoperative and postoperative radiographic studies. Patients: A total of 137 patients underwent an operation. Of these, 109 patients were compatible with the inclusion criteria (data available, first operation, no multiple comorbidities). Sixty-four patients had iliac bone harvested using the open trapdoor technique, while 45 had the same procedure using the closed osteotomy technique. Results: Maximum bone graft volumes harvested were similar with both techniques. The mean length of hospital stay was 50.9 hours for the osteotome and 75.5 hours for the open technique group (p < .0001). The postoperative analgesia requirement was higher and the postoperative mobilization was delayed and more difficult for the open technique patients (p < .0005). Kindelan scores performed by two independent orthodontists were similar for both techniques. Conclusion: The findings demonstrate that harvesting bone from the iliac crest using an osteotome technique reduces time in hospital, analgesia requirements, and postoperative donor site morbidity with no detrimental outcome.

A Comparison of the Use of Distal Radius Vascularised Bone Graft and Non-Vascularised Iliac Crest Bone Graft in the Treatment of Non-Union of Scaphoid Fractures

2008 ◽  
Vol 33 (5) ◽  
pp. 636-640 ◽  
Author(s):  
J. BRAGA-SILVA ◽  
F. M. PERUCHI ◽  
G. M. MOSCHEN ◽  
D. GEHLEN ◽  
A. V. PADOIN
Keyword(s):  
Bone Graft ◽  
Distal Radius ◽  
Iliac Crest ◽  
Surgical Techniques ◽  
Functional Results ◽  
Iliac Crest Bone Graft ◽  
Radiographic Findings ◽  
Non Union ◽  
Vascularised Bone Graft ◽  
Mean Time

We compared two surgical techniques for the treatment of scaphoid non-union, namely, using distal radius vascularised bone graft and iliac crest non-vascularised bone graft. Eighty patients with symptomatic scaphoid non-union underwent surgical treatment, including 35 patients treated with distal radius vascularised bone graft and 45 treated by iliac crest non-vascularised bone graft. Patients were assessed objectively by examination of wrist range of motion, grip strength and radiographic findings in the postoperative period after a mean time of 2.8 (1.4) (range 1–5.2) years. Similar functional results were obtained with the two techniques. All cases of non-union in the non-vascularised group obtained consolidation in a mean time of 8.89 (2.26) months and in the vascularised group in a mean time of 7.97 (3.06) months. Three cases of consolidation failure occurred in the vascularised group and were related to technical difficulties.

scholarly journals Transiliac hernia: a case report with short review of literature

2016 ◽  
pp. 1
Author(s):  
Nazmuddin Jetaji ◽  
Zubair Sorathia
Keyword(s):  
Bone Graft ◽  
Gold Standard ◽  
Iliac Crest ◽  
Donor Site ◽  
Relevant Literature ◽  
Short Review ◽  
Review Of Literature ◽  
Non Union ◽  
Bone Graft Substitutes ◽  
Femur Shaft

<p>The Iliac crest is considered gold standard among all types of bone graft available-natural or synthetic. There are many reported complications of bone graft harvestation but one of the rarely reported ones is hernia from the donor site. Not more than 15-20 cases have been reported in the last 10 years. We hereby report a case of hernia from the iliac crest used to harvest bone graft for a case of Femur shaft non-union and also review the relevant literature. The risk factors for this particular complication to occur are morbid obesity, female sex and old age. Bone graft substitutes should therefore be strongly considered in these patients. When harvested, the periosteum and soft tissue should be meticulously closed and repaired. CT scan is a fairly conclusive investigation for diagnosis.</p>

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