Reconstruction of Large Iliac Crest Defects After Graft Harvest Using Autogenous Rib Graft

Bapat, Mukta; Chaudhary, Kshitij; Garg, Heena; Laheri, Vinod

doi:10.1097/brs.0b013e318185287d

Cited by 22 publications

(23 citation statements)

References 13 publications

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“…Anterior ICBG volume has been reported to range from an average of 5.3-72 cm 3 [5,8,27]. 3 ), but in a much younger study population than Belthur et al [4,41]. Results in the literature show that the amount of intramedullary bone graft that can be harvested is comparable to the amount of ICBG that can be harvested.…”

Section: Discussionmentioning

confidence: 81%

“…Possible harvesting sites such as the distal radius, olecranon, and rib are described in the literature, but they are not used very often in long bone treatment because of the small amount of graft obtained and the possible complications [3,5,11,22,35]. Autogenous iliac crest bone graft (ICBG) harvest is associated with signifi cant donor site complications with rates as high as 10% minor and 8.6% major complications.…”

Section: Discussionmentioning

confidence: 99%

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Bone graft harvesting using the RIA (reaming irrigation aspirator) system – a quantitative assessment

Kovar

Wozasek

2011

Wien Klin Wochenschr

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On the basis of our present results, harvesting intramedullary bone graft with the RIA system appears to be an innovative technique for bone grafting in limb reconstruction. A significantly greater quantity of bone graft was harvested from the femora than the tibiae (p = 0.007). No significant differences among age, sex, body weight, bone length, or BMI were observed. Our results showed that a sufficient quantity in weight of autogenous bone graft could be obtained using the RIA system.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Bone graft harvesting using the RIA (reaming irrigation aspirator) system – a quantitative assessment

Kovar

Wozasek

2011

Wien Klin Wochenschr

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“…Bapat et al [20] and Dave et al [21] used rib autograft for reconstruction of the iliac crest during surgery of thoracic spine. The rib, which was removed at the time of 16 40-70 mm 94 % Median VAS of 3 (0-9) 87.5 % "very satisfied" 0 Tutobone, Xenograft n/a not applicable or not available, VAS visual analogue scale thoracotomy, was used and fixed to the iliac crest with a press-fit technique after fashioning it from both ends.…”

Section: Discussionmentioning

confidence: 99%

“…All of the above graft materials have been used in order to minimize donor-site pain, to promote bone healing [10,11,16,17], and to improve cosmesis [7-9, 18, 19] and functional outcome [12,[20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of iliac crest with bovine cancellous allograft after bone graft harvest for symphysis pubis arthrodesis

Makridis

Ahmad

Kanakaris

et al. 2012

International Orthopaedics (SICOT)

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Purpose The aim of this study was to evaluate the safety and efficiency, as well as the incorporation characteristics of a specific type of xenograft used for iliac crest defects postharvesting tri-cortical iliac crest bone graft. Methods Sixteen patients diagnosed with chronic anterior pelvic pain were operated for pubic symphysis fusion. The tri-cortical graft harvested from the iliac crest was inserted into the pubic symphysis and compressed with a reconstruction plate. The defect in the iliac crest was filled with a block of cancellous bovine substitute (Tutobone®). The length of iliac crest defect, time to fusion of pubic symphysis, time to incorporation of the graft and complications were recorded. The postoperative pain and patients' satisfaction were evaluated. Results The median age of patients was 36.5 years (range 27-75). Fusion was obtained in 15 patients (94 %). The median time to fusion was four months (range three to seven). The length of the iliac crest bone defect ranged from 40 to 70 mm. Integration of the bovine substitute was achieved in 15 patients (94 %) over a median period of three months (range two to six). The postoperative median pain score was 2 (range 1-5). Twelve patients (75 %) reported good satisfaction. No major complications or allergic reactions were observed. Conclusions The xenograft used in this study provided a safe and effective method of reconstruction of iliac crest donor site defects. It has satisfactory incorporation, high biocompatibility and no signs of inflammatory reactions. This new technique is simple and easily reproducible in routine clinical practice.

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“…Reossification of the skull may contribute to this phenomenon, and in fact some authors have described a role for reconstituting the iliac crest with autologous rib following large iliac crest graft harvests. 2 The most common complication of iliac crest graft harvesting is donor site pain. Most of these data have come from the adult literature.…”

Section: Discussionmentioning

confidence: 99%

Use of occipital bone graft in pediatric posterior cervical fusion: an alternative paramedian technique and review of the literature

Bauman

Hardesty

Heuer

et al. 2011

PED

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An alternative method of bone grafting for pediatric posterior cervical and occipitocervical fixation is presented in detail. Full-thickness autografts from small craniectomies of the occipital bone are used to augment posterior segmental fusion in pediatric patients. Twelve patients have been treated successfully without bone graft donor site complications. The technical differences from previously reported uses of calvarial autograft in spine fusion are reviewed.

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Reconstruction of Large Iliac Crest Defects After Graft Harvest Using Autogenous Rib Graft

Cited by 22 publications

References 13 publications

Bone graft harvesting using the RIA (reaming irrigation aspirator) system – a quantitative assessment

Bone graft harvesting using the RIA (reaming irrigation aspirator) system – a quantitative assessment

Reconstruction of iliac crest with bovine cancellous allograft after bone graft harvest for symphysis pubis arthrodesis

Use of occipital bone graft in pediatric posterior cervical fusion: an alternative paramedian technique and review of the literature

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