Trochanteric Bone Grafts in Foot and Ankle Surgery

1996 ◽  
Vol 17 (7) ◽  
pp. 402-405 ◽  
Author(s):  
W. Richard Hayes ◽  
Ronald W. Smith
Keyword(s):  
Bone Graft ◽  
Delayed Union ◽  
Iliac Bone ◽  
Patient Questionnaire ◽  
Foot And Ankle ◽  
Greater Trochanter ◽  
Graft Harvest ◽  
Iliac Bone Graft ◽  
Ankle Surgery

Eighty-five patients who underwent trochanteric bone graft harvest in association with foot and ankle surgery were studied retrospectively by patient questionnaire. The average follow-up was 49 months (range, 14–101 months). Ninety-five percent of the patients expressed satisfaction with the procedure, in that they would choose to accept the trochanteric bone graft again if required to make the choice. However, 31 % of the patients acknowledged some degree of hip discomfort and 4% reported some daily pain. Nineteen of 85 patients (22%) were treated for trochanteric pain. Most patients responded to strengthening/stretching and heat/ice. Four patients (5%) had failed or delayed union of the arthrodesis in which trochanteric bone graft was utilized. The greater trochanter may be considered as an alternative for major bone graft when the iliac bone is not available and when weightbearing is restricted for at least 6 weeks after surgery. As with the use of iliac bone graft, patients should be alerted to the possibility of postoperative discomfort. Surgical details should be followed to minimize the risk of peritrochanteric fracture.

Morbidity Associated With Anterior Iliac Crest Bone Grafting in Foot and Ankle Surgery

2005 ◽  
Vol 26 (2) ◽  
pp. 147-151 ◽  
Author(s):  
James K. DeOrio ◽  
Daniel C. Farber
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Iliac Crest Bone Graft ◽  
Graft Material ◽  
Foot And Ankle ◽  
Postoperative Hematoma ◽  
Graft Harvest ◽  
Ankle Surgery ◽  
Hospital Days

Background: Substitutes for bone graft have been advocated to avoid the potential morbidity associated with harvest of autogenous iliac crest graft. However, no current commercially available graft equals autogenous bone's osteoinductive and osteoconductive qualities. We reviewed our patients' morbidity after harvest of anterior iliac crest bone grafts for procedures involving the foot and ankle. Methods: A computerized analysis of patient records was undertaken to identify all patients who had a harvest of unicortical iliac crest bone graft during a 12-year period. Patients were contacted either by telephone or by mailed questionnaire, inquiring about the postoperative morbidity of the procedure. Medical records were reviewed for any related complications. Results: Of the 169 patients identified, 134 could be contacted. Follow-up ranged from 1 to 13 years. Not all patients answered every question. At latest follow up, 120 (90%)-patients reported no pain at the bone graft site. Eleven patients complained of persistent residual numbness lateral to the harvest site on the pelvis. Of these 120 patients, 32 (27%) reported that pain at the graft site was greater than the pain at the operative site during the initial postoperative period. No patients had extra hospital days as a result of the bone graft harvest. No deep infections occurred, although 12 (6.7%) of 180 patients had a postoperative hematoma or seroma. Overall, 116 (90%) of 129 patients were satisfied or very satisfied with their bone graft harvest. Conclusions: Harvesting of autogenous iliac crest bone graft provides the optimal bone graft material, yields minimal morbidity, and is an acceptable choice in supplementing surgical procedures on the foot and ankle.

scholarly journals Pain and Complications following Bone Marrow Aspirate Concentrate (BMAC) Harvested from the Iliac Crest in Foot and Ankle Surgery

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0014
Author(s):  
Christy M. Christophersen ◽  
Osama Elattar ◽  
Daniel Farber
Keyword(s):  
Bone Marrow ◽  
Patient Satisfaction ◽  
Bone Graft ◽  
Iliac Crest ◽  
Bone Marrow Aspirate ◽  
Foot And Ankle ◽  
Ankle Surgery ◽  
Harvest Site ◽  
Telephone Questionnaire

Category: bone graft in foot and ankle surgery Introduction/Purpose: Autologous bone is recognized as the gold standard for bone grafting in orthopedics with the iliac crest being the common harvest site. In an attempt to minimize morbidity associated with structural bone graft harvest from the iliac crest and still maintain the proposed benefit of collecting and transplanting live cells and growth factors, Bone Marrow Aspirate Concentrate (BMAC) obtained from the iliac crest has become increasingly popular. However, any harvest procedure can potentially induce pain and introduce complications. The purpose of this study was to evaluate the safety and complications of BMAC from the anterior iliac crest for use in various foot and ankle fusion procedures. Methods: A retrospective chart review was performed on all patients that underwent BMAC harvest from the iliac crest at the time of their foot or ankle surgical procedure by one of four fellowship trained surgeons between 2014 and 2017 with a minimum of six-month follow-up. Patients were evaluated for complications, pain, and functional limitation secondary to the BMAC harvest. The final outcome follow-up for the cohort was conducted using a specifically designed telephone questionnaire to assess patient satisfaction. A total of 55 patients were included, with a median age of 58 years (range 31 to 81 years) and 69% were female. Results: Out of the 55 patients, 52 patients (94.5%) reported reported good to excellent results and were satisfied with the procedure at the time the questionnaire was conducted. Only 3 patients reported persistent complications and some element of dissatisfaction with the procedure after 6 months (the minimum follow up), 1 patient reported persistent numbness at the harvest site, and 2 reported some persistent pain at the harvest site lasting up to 6 months. Some patients reported transient complications that eventually resolved with no implication on their satisfaction of the procedure at the time of the telephone questionnaire. Four patients reported hematoma that was treated conservatively and eventually resolved spontaneously. Four patients reported transient numbness at the harvest site with eventual resolution. Immediately post-operatively, 50% of patients reported some element of post-operative pain. However, at the time of the final follow-up (at least 6 months), only 2 patients reported persistent pain at the harvest site lasting up to 6 months, but it was not considered activity-limiting pain. Conclusion: BMAC harvest is a safe procedure with a high rate of patient satisfaction and minimal morbidity with mostly self- limiting complications. This is the first study to evaluate the safety of BMAC as a part of foot and ankle surgical procedures.

Cephalometric Long-term Follow-up of Nasal Augmentation using Iliac Bone Graft

2004 ◽  
Vol 32 (4) ◽  
pp. 233-235 ◽  
Author(s):  
Shunji Sarukawa ◽  
Yasushi Sugawara ◽  
Kiyonori Harii
Keyword(s):  
Bone Graft ◽  
Iliac Bone ◽  
Iliac Bone Graft ◽  
Long Term Follow Up ◽  
Nasal Augmentation

scholarly journals Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures

2012 ◽  
Vol 15 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Chul Hyun Cho ◽  
Hyung Gyu Jang
Keyword(s):  
Bone Graft ◽  
Clinical Outcomes ◽  
Plate Fixation ◽  
Arthroscopic Surgery ◽  
Iliac Bone ◽  
Dash Score ◽  
Structural Support ◽  
Iliac Bone Graft ◽  
Quick Dash

PURPOSE: The purpose of this study was to evaluate the radiologic and clinical outcomes after intercalary tricortical iliac bone graft with plate fixation for the nonunion of midshaft clavicular fractures.MATERIALS AND METHODS: Between September 2007 and May 2011, 10 patients who were treated by the intercalary tricortical iliac bone graft, with plate fixation for clavicle nonunion, were studied. The mean follow-up period was 30.7 (12~57) months. After the sclerotic bone was excised to the bleeding cortical bone, we interposed the tricortical iliac bone to provide structural support and restore clavicle length, and then fixed the plate and screws. The radiologic outcomes on the serial plain radiographs and clinical outcomes, according to UCLA, ASES and Quick DASH scores, were analyzed.RESULTS: Bony union was obtained in all cases (100%) and the average union time was 18.4 (14~24) weeks. The average respective UCLA and ASES scores improved from 16.7 and 52.1 preoperatively to 27.4 and 83.6 postoperatively (p<0.05). The average Quick DASH score was 40.5, at the final follow-up. Complications were 2 shoulder stiffness, and one case had removal of device and arthroscopic surgery at 11 months, postoperatively. There were no implant failure or infection.CONCLUSION: Intercalary tricortical iliac bone graft, with plate fixation for the nonunion of midshaft clavicular fractures, is a good option that can provide structural support and restore clavicle length, as well as high union rate.

scholarly journals Lumbar and para-iliac hernias: an alternative technique

2021 ◽  
Vol 48 ◽  
Author(s):  
MARIA PESSOLE BIONDO SIMÕES ◽  
ALEXANDRE CONTIN MANSUR ◽  
SILVANIA KLUG PIMENTEL
Keyword(s):  
Bone Graft ◽  
Blunt Trauma ◽  
Iliac Crest ◽  
Aortic Surgery ◽  
Iliac Bone ◽  
Lumbar Region ◽  
Alternative Technique ◽  
Iliac Bone Graft ◽  
The Mean

ABSTRACT Lumbar and para-iliac hernias are rare and occur after removal of an iliac bone graft, nephrectomies, retroperitoneal aortic surgery, or after blunt trauma to the abdomen. The incidence of hernia after the removal of these grafts ranges from 0.5 to 10%. These hernias are a problem that surgeons will face, since bone grafts from the iliac crest are being used more routinely. The goal of this article was to report the technique to correct these complex hernias, using the technique of fixing the propylene mesh to the iliac bone and the result of this approach. In the period of 5 years, 165 patients were treated at the complex hernia service, 10 (6%) with hernia in the supra-iliac and lumbar region, managed with the technique of fixing the mesh to the iliac bone with correction of the failure. During the mean follow-up of 33 months (minimum of 2 and maximum of 48 months), there was no recurrence of the hernias.

scholarly journals Possibility of Using Flexible Dentures over Iliac Bone Graft in Adolescent Patients with Ameloblastoma: A 9-Month Follow-Up Clinical Report

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Ammar Belal ◽  
Bassil Monther ◽  
Wael Alzarif
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Clinical Observation ◽  
Transition Period ◽  
Iliac Bone ◽  
Clinical Report ◽  
Common Procedure ◽  
Iliac Bone Graft ◽  
Adolescent Patients

Introduction. The use of bone grafts is a common procedure after excision and reconstruction of the mandible, although it is rare in children and adolescents due to incomplete growth, which means a long transition period until reaching an appropriate age for implants or more predictable outcomes. Case Report. This article describes a 9-month follow-up of the use of a flexible denture above a bone graft taken from the anterior iliac crest for adolescent patients with resected mandible due to ameloblastoma. Taking into account prosthetic considerations, radiography, and clinical observation, no complications were seen with the graft. Conclusion. It is safe to use a flexible denture as a prosthetic over an iliac bone graft block during the healing period.

scholarly journals Lumbar Incisional Hernia Repair following Iliac Bone Graft Harvest

2014 ◽  
Vol 4 (2) ◽  
pp. 379-382 ◽  
Author(s):  
Ketan Vagholkar ◽  
◽  
Abhijit Budhkar ◽  
Jagruti Gulati ◽  
Keyword(s):  
Incisional Hernia ◽  
Hernia Repair ◽  
Bone Graft ◽  
Incisional Hernia Repair ◽  
Iliac Bone ◽  
Graft Harvest ◽  
Iliac Bone Graft
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