scholarly journals SPINE SURGERY;

2013 ◽  
Vol 20 (02) ◽  
pp. 266-271
Author(s):  
ABDUL SATAR ◽  
MUHAMMAD INAM ◽  
MOHAMMAD ARIF ◽  
Mohammad Saeed, ◽  
Imran Khan Wazir,
Keyword(s):  
Bone Graft ◽  
Spine Surgery ◽  
Iliac Crest ◽  
Donor Site ◽  
Deep Infection ◽  
Autogenous Bone ◽  
Superficial Infection ◽  
Graft Harvest ◽  
Donor Site Pain ◽  
Minimum Age

Objectives: The objective of this study is to find out the complication directly related to iliac bone graft harvest in spinesurgery. Design: Observational prospective study. Setting: Department of Orthopedic and Spine surgery, Hayatabad Medical ComplexPeshawar. Period: January 2007 to April 2012 on 139 patients. Material and method: Only those cases were included in whom bonegrafting was done for fusion as part of their spine surgery and were successfully followed for at least 6 months. Results: Out of 139patients 59(42.4%) were female patients while 80(57.6%) were male. Minimum age of the patients was 4 years while maximum was 70years. In 119(85.6%) patients cortico-cancellous bone graft was taken. While in 20(14.4%) patients, tri-cortical graft was taken. Inmajority 106(76.3%) cases graft was obtained from the posterior iliac crest while in 33(23.7%) it was obtained from the anterior iliaccrest. 45(32.4%) had some pain at the bone graft site. 8(5.8%) had early deep infection while 6(4.3%) had early superficial infection. Nine(6.4%) of our patients had nerve injury evident by parasthesia in the zone of distribution. Conclusions: Iliac crest is an excellent sourceand best available material for autogenous bone grafting. However it is not free of complications. The most common complications arepersistent chronic donor site pain, infection and heamatoma.

scholarly journals More weighted cancellous bone can be harvested from the proximal tibia with less donor site pain than anterior iliac crest corticocancellous bone harvesting: retrospective review

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Hanju Kim ◽  
Ajit Kumar Kar ◽  
Aditya Kaja ◽  
Eic Ju Lim ◽  
Wonseok Choi ◽  
...  
Keyword(s):  
Bone Graft ◽  
Cancellous Bone ◽  
Iliac Crest ◽  
Proximal Tibia ◽  
Donor Site ◽  
Autogenous Bone ◽  
Vas Score ◽  
Donor Site Pain ◽  
The Mean ◽  
Site Pain

Abstract Background Iliac crest is the most preferred autogenous bone graft harvesting donor site while it has sorts of complications like prolonged pain, hematoma, and fracture. Harvesting cancellous bone from proximal tibia is also increasingly being used because of lower complications and less donor site pain. However, there are lack of studies to compare these two donor sites in detail. Thus, we proposed to investigate the available amount of autogenous bone graft from the proximal tibia. Methods Fifty-one patients who underwent simultaneous bone graft harvest from the PT and the AIC to fill up the given critical sized bone defects were enrolled in this study. We prospectively collected data including the weight of the harvested bone, donor site pain using the visual analog scale (VAS) score, and complications between the two sites. Results The mean weight of cancellous bone harvested from the PT was greater than AIC (33.2g vs. 27.4g, p = 0.001). The mean VAS score was significantly lesser in the PT up to 60 days after harvesting (p < 0.001). There was persistent pain up to 90 days in four PT patients and in seven AIC patients. The major complication was reported only in AIC patients (11.8%). Conclusions Harvesting cancellous bone from the PT is an acceptable alternative to the AIC for autogenous bone grafting owing to availability of more weighted graft bone and less donor site pain.

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.

scholarly journals Mandibular Reconstruction with Lateral Tibial Bone Graft: An Excellent Option for Oral and Maxillofacial Surgery

2017 ◽  
Vol 10 (4) ◽  
pp. 292-298 ◽  
Author(s):  
Ana Lucia Carpi Miceli ◽  
Livia Costa Pereira ◽  
Thiago da Silva Torres ◽  
MônicaDiuana Calasans-Maia ◽  
Rafael Seabra Louro
Keyword(s):  
Bone Graft ◽  
Orthognathic Surgery ◽  
Proximal Tibia ◽  
Donor Site ◽  
Maxillofacial Surgery ◽  
Lateral Approach ◽  
Autogenous Bone ◽  
Oral And Maxillofacial Surgery ◽  
Superficial Infection ◽  
Tibial Bone

Autogenous bone grafts are the gold standard for reconstruction of atrophic jaws, pseudoarthroses, alveolar clefts, orthognathic surgery, mandibular discontinuity, and augmentation of sinus maxillary. Bone graft can be harvested from iliac bone, calvarium, tibial bone, rib, and intraoral bone. Proximal tibia is a common donor site with few reported problems compared with other sites. The aim of this study was to evaluate the use of proximal tibia as a donor area for maxillofacial reconstructions, focusing on quantifying the volume of cancellous graft harvested by a lateral approach and to assess the complications of this technique. In a retrospective study, we collected data from 31 patients, 18 women and 13 men (mean age: 36 years, range: 19–64), who were referred to the Department of Oral and Maxillofacial Surgery at the Servidores do Estado Federal Hospital. Patients were treated for sequelae of orthognathic surgery, jaw fracture, nonunion, malunion, pathology, and augmentation of bone volume to oral implant. The technique of choice was lateral access of proximal tibia metaphysis for graft removal from Gerdy tubercle under general anesthesia. The mean volume of bone harvested was 13.0 ± 3.7 mL (ranged: 8–23 mL). Only five patients (16%) had minor complications, which included superficial infection, pain, suture dehiscence, and unwanted scar. However, none of these complications decreases the result and resolved completely. We conclude that proximal tibia metaphysis for harvesting cancellous bone graft provides sufficient volume for procedures in oral and maxillofacial surgery with minimal postoperative morbidity.

Chronic Donor Site Pain Complicating Bone Graft Harvesting From the Posterior Iliac Crest for Spinal Fusion

Spine ◽  
1992 ◽  
Vol 17 (12) ◽  
pp. 1474-1480 ◽  
Author(s):  
Jeffrey C. Fernyhough ◽  
Jeffrey J. Schimandle ◽  
Margaret C. Weigel ◽  
Charles C. Edwards ◽  
Alan M. Levine
Keyword(s):  
Bone Graft ◽  
Spinal Fusion ◽  
Iliac Crest ◽  
Donor Site ◽  
Posterior Iliac Crest ◽  
Donor Site Pain ◽  
Bone Graft Harvesting ◽  
Site Pain

Iliac crest donor site analgesia with ropivacaine infusion after autogenous bone graft

2004 ◽  
Vol 21 (3) ◽  
pp. 239-241
Author(s):  
J. M. Bonvini ◽  
A. Dullenkopf ◽  
A. Borgeat ◽  
K. Rentsch
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Autogenous Bone Graft ◽  
Autogenous Bone

The Incidence of Donor Site Pain After Bone Graft Harvesting From the Posterior Iliac Crest May Be Overestimated

Spine ◽  
2007 ◽  
Vol 32 (17) ◽  
pp. 1865-1868 ◽  
Author(s):  
Diyar Delawi ◽  
Wouter J. A. Dhert ◽  
René M. Castelein ◽  
Abraham J. Verbout ◽  
F Cumhur Oner
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Posterior Iliac Crest ◽  
Donor Site Pain ◽  
Bone Graft Harvesting ◽  
Site Pain

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.

Persistent Iliac Crest Donor Site Pain: Independent Outcome Assessment

Neurosurgery ◽  
2002 ◽  
Vol 50 (3) ◽  
pp. 510-517 ◽  
Author(s):  
Robert F. Heary ◽  
Richard P. Schlenk ◽  
Theresa A. Sacchieri ◽  
Dean Barone ◽  
Cristian Brotea
Keyword(s):  
Outcome Assessment ◽  
Iliac Crest ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Outcome Analysis ◽  
True Incidence ◽  
Graft Harvest ◽  
Donor Site Pain ◽  
Bone Graft Harvesting ◽  
Site Pain

Abstract OBJECTIVE: This study objectively defines the incidence of donor site pain in an independent outcome analysis. In addition, this study identifies the significant discrepancies that are observed when independent outcome assessment results are compared with the incidences determined by review of the operating surgeon's documented findings. METHODS: A review of patients who underwent iliac bone graft harvesting by a single neurosurgeon was conducted. The presence of iliac crest donor site pain, at a time remote from surgery, as determined by specific questioning and recorded in the neurosurgeon's written evaluation was compared with independent assessment findings obtained in structured telephone questionnaire interviews. During a 4-year period, 105 patients met the inclusion criteria. Both the operating surgeon's and independent interviewer's follow-up evaluations were completed for all study patients. Pain was classified into three categories, i.e., no pain, acceptable pain, or unacceptable pain. Patients were also asked to assess the severity of their donor site pain by using a visual analog scale. Statistical analyses comparing the incidences of iliac crest donor site pain in the operating surgeon's evaluations and the independent assessments were performed. RESULTS: When evaluated at a time remote from surgery, the true incidence of iliac crest donor site pain after graft harvest procedures (34%) was significantly greater than previously appreciated by the neurosurgeon (8%). Although occasional or mild pain was observed for 31% of patients, only 3% of all patients experienced unacceptable pain. CONCLUSION: Independent outcome assessment values should be provided to patients in preoperative discussions regarding donor site morbidity. Objective outcome analysis, based on independent observations, is crucial for the most accurate interpretation of perceptions of iliac crest donor site pain.

scholarly journals Iliac crest donor site analgesia with ropivacaine infusion after autogenous bone graft

2004 ◽  
Vol 21 (3) ◽  
pp. 239-241 ◽  
Author(s):  
J. M. Bonvini ◽  
A. Dullenkopf ◽  
A. Borgeat ◽  
K. Rentsch
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Autogenous Bone Graft ◽  
Autogenous Bone
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