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

Abstract

BackgroundThe anterior iliac crest (AIC) and proximal tibia (PT) are common donor sites for autologous bone graft harvesting. We compared pain levels at these harvest sites on 1 day, 5 days, 2 weeks, 4 weeks, and 8 weeks post-harvest.MethodsWe retrospectively reviewed 18 patients undergoing autologous bone grafting surgery at a level I trauma center between June 2013 and October 2014. Ten grafts were harvested from the AIC group and eight from the PT group. A standard visual analog scale (VAS) was used to rate pain at the harvest sites on postoperative day (POD) 1, 5, 14, 28, and 56 and at the recipient site on POD 1.ResultsThere were no statistically significant differences between both groups in age (p = 0.474), gender (p = 1.00), incidence of harvest site morbidity (p = 1.00), and average VAS at the recipient site on POD 1 (p = 0.471). VAS at the harvest site on POD 1, 5, and 14 confirmed statistically that pain was more severe in the AIC group than in the PT group (p < 0.001). However, no significant difference was observed on POD 28 and 56 between both groups. Pain was significantly less on POD 1 in the PT group at the harvest site than at the recipient site (p < 0.001).ConclusionsThe PT is a suitable harvest site, producing statistically less pain for at least two postoperative weeks than the AIC. Besides, patients report less postoperative pain at the PT harvest site than at the recipient site.

Human Umbilical Vein Endothelial Cells (HUVECs) Co-Culture with Osteogenic Cells: From Molecular Communication to Engineering Prevascularised Bone Grafts

“…However, autologous bone grafts have some significant drawbacks, such as donor-site morbidity and graft size limitations. The procedure of autograft harvesting from the healthy bone increases the duration of surgery and can be associated with potential blood loss and risk of infection [1,2,3]. Additionally, autograft quality may be affected by patient’s age and metabolic disorders [4].…”

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

“…The most common donor site for autologous bone grafting is the IC. Determination of the donor site for harvesting depends on the required bone volume, patient's recipient site, and the surgeons' preference (3,4). To avoid wasting extra time for bone harvesting procedure, orthopedic surgeons generally tends to select the donor site according to the patient's position on the operation table.…”

“…The best origin of the bone graft is the autogenous bone, which has osteoinductive, osteoconductive, and osteogenic properties (2). The autogenous grafts are nonimmunogenic and it's more biological than allogenic grafts (3). Various donor sites such as iliac crest (IC), proximal tibia, distal radius, olecranon and rib can be used for autogenous bone grafts (3).…”

“…The autogenous grafts are nonimmunogenic and it's more biological than allogenic grafts (3). Various donor sites such as iliac crest (IC), proximal tibia, distal radius, olecranon and rib can be used for autogenous bone grafts (3). The most common donor site for the autogenous bone grafting is the IC (4).…”

The Staged Treatment for Tibial Plateau Fractures and the Reconstruction of Lateral Column With Autogenous Iliac Bone: an Efficacy Analysis Report

“…A horizontal cut was introduced to the collapsed articular surface at 1.0 cm below the cartilage with a wide osteotomy until it was at and leveled with the contralateral articular surface. Next, the iliac bone measuring 3X2X1 cm was xed to the contralateral side of the affected limb [16]. This was followed by horizontally inserting a large medial plate of the iliac bone facing the joint upward to lift the articular surface, which is equivalent to reconstructing the subchondral cortical bone of the tibial plateau.The lateral plate of the iliac bone was then removed, and the exposed cancellous bone was molded into a bone strip to tightly ll the condyle.…”