Complications Associated With Anterior Iliac Bone Grafting for the Reconstruction of Dentoalveolar Defects

Tosun, Emre; Akkocaoğlu, Murat; Tüz, Hakan H.; Avağ, Canseda; Göktürk, Tuğçe

doi:10.1097/scs.0000000000005331

Cited by 5 publications

(4 citation statements)

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“…We found delayed wound healing in 14 cases (2.89%) and unfavorable scar formation in 6 cases (1.24%), with no significant difference between the age groups. Here, our results were lower than those of Tosun et al, who detected hematoma in 8.1% and infection in 12.8% of cases [ 30 ], and also lower than those of Boehm et al, who described higher rates of hypertrophic and painful scars (9.1%) [ 29 ]. Therefore, the operation technique may have a greater impact on scar formation than age and its associated reduced skin elasticity.…”

Section: Discussioncontrasting

confidence: 90%

“…While the overall rate of complaints after iliac crest graft procedures is generally low [ 18 , 23 , 28 ], gait disturbances are the most common morbidity [ 29 , 30 ], and yet, they are rarely chronic and seldom last a long time [ 2 , 17 ]. In our findings, 74 out of 485 patients suffered from this condition (15.26%), but only 11 patients (0.23%) had chronic gait problems that lasted for more than a month, which is lower than that described by Brudnicki et al [ 1 ] and Schaaf et al [ 23 ] and similar to that described by Nkenke et al [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Postoperative Morbidity and Complications in Elderly Patients after Harvesting of Iliac Crest Bone Grafts

et al. 2021

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Background and objectives: In oral and maxillofacial operations, the iliac crest is a commonly used donor site from which to harvest bone for augmentation prior to dental implantation or for reconstruction of jaw defects caused by trauma or pathological lesions. In an aging society, the proportion of elderly patients undergoing iliac crest bone grafting for oral augmentation is growing. Although postoperative morbidity is usually moderate to low, the age and health of the patient should be considered as risk factors for complications and delayed mobilization after the operation. The aim of this retrospective study was to evaluate the postoperative morbidity and complications in elderly patients after the harvesting of iliac crest bone grafts for oral surgery. Material and Methods: Data were collected from a total of 486 patients (aged 7–85) who had a surgical procedure that included the harvesting of iliac crest bone grafts for intraoral transplantation. All patients were operated on between 2005 and 2021 in the Department for Oral and Maxillofacial Surgery of the University Hospital in Aachen, Germany. As parameters for postoperative morbidity and complications, gait disturbances, hypesthesia of cutaneous nerves, incision hernias, iliac crest fractures, delayed wound healing, and unfavorable scar formation at the donor site were all evaluated. Results: The study was performed with 485 patients due to the exclusion of one patient as the only one from whom grafts were taken from both sides. When younger and older patients were compared, neither gait disturbances (p = 0.420), nor hernias (p = 0.239), nor fractures (p = 0.239), nor hypesthesia (p = 0.297), nor wound healing delay (p = 0.294), nor scar problems (p = 0.586) were significantly different. However, the volume of the graft was significantly correlated with the duration of the hospital stay (ρ = 0.30; p < 0.01) but not with gait disturbances (ρ = 0.60; p = 0.597). Additionally, when controlling for age (p = 0.841), sex (p = 0.031), ASA class (p = 0.699), preexisting orthopedic handicaps (p = 0.9828), and the volume of the bone graft (p = 0.770), only male sex was associated with the likelihood of suffering gait disturbances (p = 0.031). Conclusions: In conclusion, harvesting bone grafts from the anterior iliac crest for intraoral augmentation is a safe procedure for both young and elderly patients. Although there is some postoperative morbidity, such as gait disturbances, hypesthesia, scar formation, or delayed wound healing at the donor site, rates for these minor complications are low and mostly of short duration. Major complications, such as fractures or incision hernias, are very rare. However, in our study, the volume of the bone graft was associated with a longer stay in hospital, and this should be considered in the planning of iliac crest bone graft procedures.

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Section: Discussioncontrasting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Postoperative Morbidity and Complications in Elderly Patients after Harvesting of Iliac Crest Bone Grafts

et al. 2021

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“…Among the complications, delayed wound healing characterized 14 cases (2.89 %) painful scars -6 cases (1.24 %), without a significant difference between age groups. Also, the authors noted the hematomas in 8.1 % and infectious complications in 12.8 %, which is explained by violations of surgical technique [35].…”

Section: Discussionmentioning

confidence: 96%

Modern Technologies for Bone Defect Replacement (Literature Review)

Buryanov,

Kvasha,

Kuprii

et al. 2024

OTP

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Information is provided regarding the materials used to replace bone defects caused by gunshot wounds. Materials and various techniques for replacing bone defects of the limbs are described. Goal. Conduct an analysis of surgical technologies and materials for the replacement of bone defects, by analyzing literary sources. Methods. In three reputable databases (PubMed, Scopus, and Web of Science), an analysis of the latest scientific studies devoted to the treatment of defects of long tubular bones in the period from 2015 to 2022 was carried out. The search was carried out using the keywords "bone defects", "autograft", "allograft", "Ilizarov method", "Masquelet method", "biocomposite materials". The results. Analysis of osteoinductive and osteoconductive properties of auto- and allografts, modern biocomposite materials. Established advantages and disadvantages. The contemporary analysis of literary sources does not provide an objective comparative assessment of the effectiveness of the treatment of bone defects according to the Masquelet and Ilizarov method due to the lack of a sufficient number of randomized studies, which is the basis for further targeted research. Conclusions. Treatment of bone tissue defects of various genesis is an urgent problem of modern orthopedics and traumatology. The wide range of treatment options is proof that no single strategy works for every patient, just as there is no perfect universal material to fill and ensure bone regeneration in the defect site. A promising direction is the search for new or a combination of known materials and methods, which are able to maximally provide compensation for these pathological conditions.

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“…liac crest, proximal tibia, and fibula are the most common sites, from which bone graft is taken. Among them, Iliac crest cancellous bone graft is the standard, to which all other materials are compared [1] and the iliac crest is the most common donor site for bone grafting in orthopedics [2] and the choice in oral and maxillofacial surgery [3]. However, iliac crest bone graft harvest has been infamous for the high rate of complications, occurring in up to 49% of patients [1][2][3][4][5], more common in the spine, orthopedic, and oral surgery [1,3].…”

Section: Introductionmentioning

confidence: 99%

Bone Grafting Surgery, Proximal Tibia as Donor Site

Khani

Mehrabi

Saied

2021

J. Res. Orthop. Sci.

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Proximal tibia is the second most common site for cancellous bone harvest after iliac crest. It is an excellent bone graft donor site especially when the same limb is undergoing the primary operation. The amount of graft and the quality probably are comparable to that taken from iliac crest and complications are by far less common and less serious. It seems that proximal tibia is a suitable donor site for bone graft harvest and orthopedic surgeons must keep this site in mind when this surgery is necessary.

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Complications Associated With Anterior Iliac Bone Grafting for the Reconstruction of Dentoalveolar Defects

Cited by 5 publications

References 40 publications

Postoperative Morbidity and Complications in Elderly Patients after Harvesting of Iliac Crest Bone Grafts

Postoperative Morbidity and Complications in Elderly Patients after Harvesting of Iliac Crest Bone Grafts

Modern Technologies for Bone Defect Replacement (Literature Review)

Bone Grafting Surgery, Proximal Tibia as Donor Site

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