Morbidity from iliac crest bone harvesting

Kalk, W; Raghoebar, Gerry M.; Jansma, J.; Boering, G

doi:10.1016/s0278-2391(96)90257-8

Cited by 205 publications

(152 citation statements)

References 16 publications

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“…The rates of satisfaction after harvest of anterior iliac crest bone grafts have been reported between 82% and 86.1%. 9,34 CONCLUSION This study demonstrates considerable morbidity following anterior iliac bone harvest for intra-oral augmentation. In order to reduce morbidity, it is not only important to have a thorough understanding of the osseous anatomy of the anterior ilium and its muscular attachments, but also good surgical procedure.…”

Section: Discussionmentioning

confidence: 83%

An investigation of post-operative morbidity following iliac crest graft harvesting

2004

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Objective A study which examined the morbidity experienced by patients who underwent iliac crest bone graft procedures. Design A post-operative questionnaire was forwarded to patients who underwent iliac crest bone graft procedures at a single centre. Subjects One hundred and fourteen patients underwent iliac crest bone grafts for intra-oral augmentation. Results Ninety-eight patients (80%) returned post-operative questionnaires. Eighty of the 98 (81.6%) patients suffered postoperative pain with 70% of patients being pain-free after four weeks. However, 10% of patients experienced pain for more than 16 weeks. Eighty-five (86.7%) patients were able to walk without any difficulties six weeks post-operatively. Gait disturbance was not related with age, however there was a significant association between pain and disturbance of gait (P< 0.001). Twenty two patients required the use of a walking stick and the use of such aids varied from 0.5 to 26 weeks. Women used walking aids for longer periods than men (P< 0.05). Twenty five patients had altered sensation with about half of them experiencing altered sensation in the distribution of the lateral femoral cutaneous nerve. Other morbidities included deformity at the hip site (2.4%), haematoma (2.4%), infection (3.2%), stress fracture (4.1%) and meralgia paraesthetica in one patient. Despite the above morbidities, 82 patients were willing to undergo the same procedure again and 89 patients would recommend the procedure to their relatives and friends. Conclusion This study demonstrates considerable morbidity following anterior iliac crest bone harvest for intra-oral augmentation. Clinicians referring patients for such bone graft procedures must be aware of the above morbidities so that any patients referred for such procedures are fully informed.Teeth are usually lost as a result of disease or trauma but some patients may have congenitally missing teeth. One of the key elements involved in successful prosthetic rehabilitation is the

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Section: Discussionmentioning

confidence: 83%

An investigation of post-operative morbidity following iliac crest graft harvesting

2004

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“…When placing implants in this region, extensive bone augmentation procedures (maxillary sinus floor elevation surgery with bone harvested intra‐orally or harvested from the iliac crest, sometimes in combination with bone substitutes) could be prevented, meaning less treatment time, less morbidity and less treatment costs (Kalk et al. 1996). Only Mangano et al.…”

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confidence: 99%

Maxillary overdentures supported by four or six implants in the anterior region: 5‐year results from a randomized controlled trial

Slot

Raghoebar

Cune

et al. 2016

J Clinic Periodontology

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ObjectiveTo compare a four‐ and six‐implant maxillary overdenture after an observation period of 5 years.Material and methodsFifty subjects with functional problems concerning their maxillary denture, who had ample bone volume in the anterior region to place four or six implants, were included and randomly assigned to either group. Implant and overdenture survival, clinical performance, marginal bone loss and patient satisfaction were assessed.ResultsForty‐six patients completed the 5‐year follow‐up. One implant failed in the six implants group (99.2% survival) and none in the four implants group (100% survival). No overdentures had to be replaced during the observation period and the number of complications was limited. Clinical function was good, with no difference in clinical parameters between the groups. Mean marginal bone resorption was 0.50 ± 0.37 and 0.52 ± 0.43 mm in the four and six implant group respectively.ConclusionIn patients with functional complaints of their maxillary denture, bar‐supported overdentures on four implants in the anterior maxillary region were not inferior to overdentures supported by six implants after 5 years of function. Implant survival and patient satisfaction were high, clinical parameters favourable, bone loss and complications to the denture were minor in both groups (Clinical trial registration number: NTR2969).

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“…A variety of complications associated with iliac crest bone harvesting have been reported, including chronic pain, sensory loss, hematoma, seroma, wound breakdown, contour defect, hernia through the donor site, gait disturbance, instability of the sacroiliac joints, pathologic fracture, a dynamic ileus and urethral injury [4].…”

Section: Discussionmentioning

confidence: 99%

“…The anterior iliac crest is the most common donor site, providing autogenous bone with the highest concentration of osteocompetent cells [4]. However, the main advantage of using a local donor site is convenient surgical access.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Efficacy of Mandible and Iliac Bone as Autogenous Bone Graft for Orbital Floor Reconstruction

Garg¹,

Giraddi

Roy³

2014

J. Maxillofac. Oral Surg.

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Objective This study evaluated and compared the efficacy of mandible and iliac bone as autogenous bone graft for correction of orbital floor fractures. Patients and Methods Twenty patients who suffered orbital floor fractures took part in the study. The subjects enrolled in the study sustained both isolated orbital floor fracture and orbital floor fracture associated with fracture of zygomatico-maxillary complex. Each inferior orbital wall was reconstructed using either a mandible bone graft or an iliac graft. Mandibular symphysis was opted as a donor site for graft harvest from mandible and anterior iliac crest for the iliac group. CT scans were taken before the operation. Inclusion criteria consisted of at least 2 months postsurgical follow-up, pre-and post-surgical photographic documentation, and complete medical records regarding inpatient and outpatient data. To describe the distribution of complications and facilitate statistical analysis, we categorized our findings into diplopia, enophthalmos, and restriction of ocular movements before and after treatment.We also considered the time required for the harvest of the grafts and the donor site complications. A comparative study was carried out using Chi square test and student t test. We considered P value \0.05 to be statistically significant. Results Ten iliac crest grafts and ten mandible bone grafts were placed. The mean age of the patients was 33.1 years. 80 % of the patients were males. The most common complication of orbital floor fracture was diplopia, followed by enophthalmos and restriction of ocular movements. The post operative results were compared after 2 months of the surgery. In iliac crest group, diplopia got corrected in six out of seven patients (85 %), enophthalmos in four out of five patients (80 %) and restricted ocular movement showed 100 % correction. While in mandible group, diplopia and ocular movement showed 100 % correction and enophthalmos got corrected in five out of six patients (83 %). No statistically significant differences were found between the two groups on comparing these variables. On the other hand the mean time required for the harvest of iliac graft and mandible graft was 30.2 ± 3.52 min and 16.8 ± 1.75 min respectively. The difference was statistically significant. Conclusion There is no difference in the ability of mandible and anterior iliac crest bone grafts to correct posttraumatic diplopia, enophthalmos and restricted ocular movements. But the time and ease of harvest of the graft from mandible was comparatively less and easy especially when the treating doctor was an oral and maxillofacial surgeon. Secondly the post-operative morbidity was low and the quality and contour of the bone graft was very adaptable for the reconstruction of the orbital floor.

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Morbidity from iliac crest bone harvesting

Cited by 205 publications

References 16 publications

An investigation of post-operative morbidity following iliac crest graft harvesting

An investigation of post-operative morbidity following iliac crest graft harvesting

Maxillary overdentures supported by four or six implants in the anterior region: 5‐year results from a randomized controlled trial

Comparison of Efficacy of Mandible and Iliac Bone as Autogenous Bone Graft for Orbital Floor Reconstruction

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