Anterior Iliac Crest, Posterior Iliac Crest, and Proximal Tibia Donor Sites: A Comparison of Cancellous Bone Volumes in Fresh Cadavers

Engelstad, Mark; Morse, Timothy E.

doi:10.1016/j.joms.2010.07.056

Cited by 42 publications

(28 citation statements)

References 26 publications

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“…The mean volume of uncompressed cancellous bone from the posterior iliac crest (11.7 mL) was greater than that from the anterior iliac crest (10.4 mL), but the difference was not statistically significant. 18 Many studies have reported significant complications when the iliac crest is removed compared with tibia bone grafts. Studies reported that 25% of patients who have been treated with autogenous bone harvested from the iliac crest experience postoperative pain at an average of 5 years after surgery.…”

Section: Discussionmentioning

confidence: 99%

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

Miceli

Pereira

Torres

et al. 2017

Craniomaxillofacial Trauma & Reconstruction

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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.

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Section: Discussionmentioning

confidence: 99%

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

Miceli

Pereira

Torres

et al. 2017

Craniomaxillofacial Trauma & Reconstruction

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“…Previous studies using the lateral approach to harvest bone graft from the proximal tibia found that the non-compressed volume was 5-42 ml 3,9,10,14,21 and compressed cancellous bone was 3.5-15 ml 4,9,14 . For the medial approach, previous studies showed the volume of non-compressed bone grafts ranged from 14 to 40 ml 6,7,20 and from 12 to 35 ml for the compressed bone volume 5,7,12 , which are higher than those of the present study.…”

Section: Discussionmentioning

confidence: 99%

Proximal tibial bone graft: the volume of cancellous bone, and strength of decancellated tibias by the medial approach

Vittayakittipong

Nurit²,

Kirirat

2012

International Journal of Oral and Maxillofacial Surgery

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“…In our experience, the maximum amount of harvested bilateral posterior ilia was 75 g. Recent reports comparing cancellous bone volume among donor sites including the anterior iliac crest, posterior iliac crest, and proximal tibia in fresh cadavers found that the proximal tibia was most likely to yield the largest cancellous bone volume and the anterior iliac crest the smallest [20]. By adding PCBM harvested from the proximal tibia or the anterior iliac crest, the maximum available amount of PCBM could be increased to address larger mandibular defects.…”

Section: Discussionmentioning

confidence: 61%

Mandibular reconstruction using custom-made titanium mesh tray and particulate cancellous bone and marrow harvested from bilateral posterior ilia

Yamada¹,

Nakaoka²,

Horiuchi³

et al. 2013

Journal of Plastic Surgery and Hand Surgery

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The objective of this study is to evaluate usefulness of mandibular reconstructions using a custom-made titanium mesh (Ti-mesh) tray and particulate cancellous bone and marrow (PCBM). A consecutive nine patients who underwent mandibular reconstruction were enrolled in this study. They were five men and four women (mean age: 53.9 years). Virtual reality simulation was performed using computer software based on the pre-operative computed tomography data. A 3-dimensional (3-D) skull model was constructed using a 3-D printer. A tray was custom-made from a Ti-mesh sheet bent to adapt to the model. After PCBM harvesting from bilateral posterior ilia, the tray was fixed to the host bone. New bone formation and configuration of the reconstructed mandible were assessed radiologically. Complications were recorded in each patient during the follow-up period. Patients, satisfaction with post-operative facial contour was evaluated using a visual analogue scale (VAS score, range = 0-100). In six of nine patients, excellent new bone formation was recognised and expected results were radiologically achieved. Complications occurred in four patients. These complications included Ti-mesh fracture, Ti-mesh exposure in the oral cavity, and delayed infection. Mean VAS score on patient satisfaction was 77.6. Although the data are preliminary, the results suggest that this method is clinically useful.

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Anterior Iliac Crest, Posterior Iliac Crest, and Proximal Tibia Donor Sites: A Comparison of Cancellous Bone Volumes in Fresh Cadavers

Cited by 42 publications

References 26 publications

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

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

Proximal tibial bone graft: the volume of cancellous bone, and strength of decancellated tibias by the medial approach

Mandibular reconstruction using custom-made titanium mesh tray and particulate cancellous bone and marrow harvested from bilateral posterior ilia

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