scholarly journals Mandibular reconstruction with autogenous non-vascularised bone graft

2019 ◽  
Vol 19 (3) ◽  
pp. 2768-2777
Author(s):  
Ramat Oyebunmi Braimah ◽  
Adebayo Aremu Ibikunle ◽  
Umar Abubakar ◽  
Abdurrazaq Olanrewaju Taiwo ◽  
Muhammed Oboirien ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Graft ◽  
Iliac Crest ◽  
Tumour Type ◽  
Reconstruction Plate ◽  
Satisfactory Outcome ◽  
Vascularised Bone Graft ◽  
Materials Used ◽  
The Right ◽  
Graft Length

Background: Reconstruction of mandibular defects can be challenging because an acceptable aesthetic and functional outcome must be achieved simultaneously.Aim: To evaluate the pattern of mandibulectomy and reconstruction materials used in the reconstruction of mandibular defects.Materials and methods: This was a retrospective study of mandibulectomies with reconstruction in Sokoto, Nigeria between 2012 and 2016. Data such as demographics, type of tumour, type of resection and type of reconstruction materials used were extracted and stored.Results: Fifty-two cases of mandibulectomies were done comprising 24 males and 28 females (ratio 1:1.2). Age ranged 5-80 years with mean±SD (37.8±15). Most of the cases 30 (57.7%) were on the right. There are 35 (67.3%) benign and 17 (32.7%) malignant cases. Thirty (57.7%) lateral, 16 (30.8%) condylar, 1 (1.9%) central and 5 (9.6%) combined mandibular defects were seen. Reconstruction plate alone was used in 11 (21.2%) cases, reconstruction plate with rib and tibia grafts in 16 (30.8%) cases, reconstruction plate with Iliac crest and tibia grafts in 15 (28.8%) cases. Graft length ranged from 0-20cm. There was satisfactory outcome altogether in 32 (80.0%).Conclusion: This study has shown the types of mandibulectomies and reconstruction materials used in our centre.Keywords: Grafts, mandibular defects, reconstruction plate.

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.

Cylinder-Shaped Bone Graft for Scaphoid Nonunion

2018 ◽  
Vol 23 (01) ◽  
pp. 96-101
Author(s):  
Hitoshi Hatanaka ◽  
Minoru Takasaki ◽  
Hiroko Furusho ◽  
Yasuhiro Omori
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Bone Graft ◽  
Iliac Crest ◽  
Bone Grafts ◽  
Scaphoid Nonunion ◽  
Wrist Motion ◽  
Operative Outcomes

Background: Wedge-shaped bone grafts that are internally fixed by a Herbert-type screw are a well-established surgical treatment for scaphoid nonunion. A procedure using cylinder-shaped bone grafts was also reported, but preoperative wrist functions were not assessed. In addition, it was not reported whether the humpback deformity of the scaphoid nonunion was corrected. The purpose of the current study was to compare preoperative wrist functions in cases of scaphoid nonunion with those observed at final follow-up, using cylinder-shaped bone grafts The humpback deformity of the scaphoid nonunion was also evaluated.Methods: We conducted a retrospective study to examine operative outcomes from 2008 to 2015. Twelve wrists in 12 patients (average age, 41 years; range, 17–67), with a mean follow-up of 19 months, were included in the current study. Cylinder-shaped bone grafts were obtained from the iliac crest with a newly designed trephine and fixed with a Herbert-type screw. We reviewed both the preoperative wrist functions and those obtained at final follow-up.Results: Union was achieved in 11 of 12 nonunion cases. Preoperative wrist functions, except for the range of wrist motion, significantly improved by final follow-up.Conclusions: We conclude that the use of cylinder-shaped bone grafts improves preoperative wrist functions in cases of scaphoid nonunion.

scholarly journals AUGMENTATION RHINOPLASTY

2006 ◽  
Vol 13 (03) ◽  
pp. 349-353
Author(s):  
MUHAMMAD SAEED ◽  
FAROOQ AHMAD MIAN
Keyword(s):  
Physical Examination ◽  
Bone Graft ◽  
Iliac Crest ◽  
Lower Class ◽  
Etiological Factor ◽  
Iliac Crest Bone Graft ◽  
Augmentation Rhinoplasty ◽  
Materials Used

To study merits and demerits of graft materials used for augmentation rhinoplasty.Design: Prospective. Settings: Study carried in the department of ENT Allied Hospital Faisalabad. Period: From Jan2001 to Dec 2002. Material and Method: The majority of patients were admitted through ENT out patient department.The data was collected on the basis of history, physical examination, investigations, photography, management andfollow up. Results: Total 30 patients 20 males (67%) and 10 females (33%). The majority of patients were from 3rddecade of life (53%). The duration of deformity in majority of patients was with in 2 years (73%). Majority of patientswere belonged to the lower class (60%). In many of the patients indication for augmentation rhinoplasty was cosmesis(100%). In 50% patients autologous iliac crest bone graft was used. The etiological factor for saddle deformity inmajority of cases was trauma (67%). The donors site morbidity was 32% as compared to other complications. Overallsuccess rate was 90%. Conclusion: The autologous cartilage has many advantages over autologous iliac crest bonegraft while performing augmentation rhinoplasty

scholarly journals Comparing morbidities of bone graft harvesting from the anterior iliac crest and proximal tibia: a retrospective study

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Ying-Cheng Huang ◽  
Chun-Yu Chen ◽  
Kai-Cheng Lin ◽  
Jenn-Huei Renn ◽  
Yih-Wen Tarng ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Graft ◽  
Iliac Crest ◽  
Proximal Tibia ◽  
Bone Graft Harvesting

scholarly journals Anterior and Posterior Iliac Crest Bone Graft Donor Site Morbidities: A Comparing Retrospective Study

2019 ◽  
Vol 15 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Mehmet Ali Talmaç ◽  
Mehmet Akif Görgel ◽  
Muharrem Kanar ◽  
Samet Erinç ◽  
Ahmet Hamdi Olçar ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Graft ◽  
Iliac Crest ◽  
Donor Site ◽  
Iliac Crest Bone Graft ◽  
Posterior Iliac Crest ◽  
Graft Donor

Comparative Assessment of Autogenous Cancellous Bone Graft and Bovine-Derived Demineralized Bone Matrix for Secondary Alveolar Bone Grafting in Patients With Unilateral Cleft Lip and Palate

2021 ◽  
pp. 105566562110251
Author(s):  
Vijay Kumar ◽  
Vidya Rattan ◽  
Sachin Rai ◽  
Satinder Pal Singh ◽  
Jai Kumar Mahajan
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Demineralized Bone Matrix ◽  
Bone Matrix ◽  
Volumetric Analysis ◽  
Group I ◽  
Alveolar Bone Grafting ◽  
Group Ii ◽  
Demineralized Bone

Objective: Comparison between bovine-derived demineralized bone matrix (DMBM) and iliac crest graft over long term for secondary alveolar bone grafting (SABG) in patients with unilateral cleft lip and palate (UCLP) in terms of radiological and clinical outcomes. Design: Prospective, randomized, parallel groups, double-blind, controlled trial. Setting: Unit of Oral and Maxillofacial Surgery, Oral Health Science Centre, Postgraduate Institute of Medical Education & Research, Chandigarh. Participants: Twenty patients with UCLP. Interventions: Patients were allocated into group I (Iliac crest bone graft) and group II (DMBM) for SABG. Outcomes were assessed at 2 weeks, 6 months, and then after mean follow-up period of 63 months. Outcomes Measures: Volumetric analysis of the grafted bone in the alveolar cleft site was done through cone beam computed tomography using Cavalieri principle and modified assessment tool. Clinical assessment was performed in terms of pain, swelling, duration of hospital stay, cost of surgery, alar base symmetry, and donor site morbidity associated with iliac crest harvesting. Results: Volumetric analysis through Cavalieri principle revealed comparable bone uptake at follow-up of 6 months between group I (70%) and group II (69%). Modified assessment tool showed no significant difference between horizontal and vertical bone scores over short- and long-term follow-up. In group II, there was higher cost of surgery, but no donor site morbidity unlike group I. Conclusions: Demineralized bone matrix proved analogous to iliac crest bone graft as per volumetric analysis over shorter period. However, although statistically insignificant, net bone volume achieved was lower than the iliac crest graft at longer follow-up.

scholarly journals Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

2021 ◽  
Author(s):  
Anna-K. Tross ◽  
Philip-C. Nolte ◽  
Markus Loew ◽  
Marc Schnetzke ◽  
Sven Lichtenberg
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Iliac Crest ◽  
Deltoid Muscle ◽  
Shoulder Surgery ◽  
Surgical Reconstruction ◽  
Iliac Crest Bone Graft ◽  
Subacromial Decompression ◽  
Arthroscopic Shoulder Surgery

AbstractSubacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. However, the indication for acromioplasty remains a subject of debate. Possible complications involve deltoid muscle insufficiency due to an excessive removal of the anterior acromion. This case report is intended to draw attention to this particular complication and its management.

Sign in / Sign up

Export Citation Format

Share Document