Morbidity from bone harvest in major jaw reconstruction: A randomized trial comparing the lateral anterior and posterior approaches to the llium

Marx, Robert E.; Morales, Marco J.

doi:10.1016/0278-2391(88)90083-3

Cited by 205 publications

(66 citation statements)

References 6 publications

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“…29 Gait disturbance after bone harvesting from the inner table is a minimal and temporary inconvenience. 6,7,10,17,18,27 This may also be related to pain and was present for greater than 14 weeks in the five patients who developed post-operative stress fractures. Three patients reported deformity at the donor site and this has been reported on previously.…”

Section: Discussionmentioning

confidence: 97%

“…7,15 Bone harvest from this site, however, has the disadvantage of the need for a separate donor site with its inherent morbidity. The complications of the anterior iliac approach include prolonged post-operative pain, [16][17][18] altered gait, 10,19 sensory nerve damage, 17,18 poor scar placement and altered bone contour, 18 delayed healing, 18 herniation of abdominal contents, 11 clicking during walking, 18 ilium fracture, 20 peritonitis, 6 excessive blood loss 18 and rarely retroperitoneal haematoma. 21 The precise cause of donor site pain remains obscure.…”

Section: Discussionmentioning

confidence: 99%

“…At the posterior ilium there is more bone available and the morbidity is minimal. 6 However, the main disadvantage is that it adds two hours to surgery time because simultaneous ilium and facial surgery cannot be accomplished and it also risks the position of the endotracheal tube during repositioning of the patient on the operating table. In 1993 Marx suggested that this technique should only be used if 50 cc or more of cancellous bone graft material is required and the preferred donor site for intra-oral augmentation is the anterior ilium.…”

Section: Fig 1 Donor Site Morbidity/complicationsmentioning

confidence: 99%

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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: 97%

Section: Discussionmentioning

confidence: 99%

Section: Fig 1 Donor Site Morbidity/complicationsmentioning

confidence: 99%

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

2004

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“…This drawback can be overcome with bone transplantation 2 or distraction, 3 which maintain a vascularized grafted bone, but the induced secondary morbidity, the technical difficulties, and the limited tissue volume transplanted or distracted are also major drawbacks. 4 Another approach is to isolate cells through a small bone marrow biopsy, then grow them on a scaffold before delivery to the desired site. These cells can produce extracellular matrix, growth factors, and angiogenic factors.…”

mentioning

confidence: 99%

Subcutaneous‐induced membranes have no osteoinductive effect on macroporous HA‐TCP in vivo

Catros

Zwetyenga

Bareille

et al. 2008

Journal Orthopaedic Research

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Induced Membranes Technique was first described to enhance bone reconstruction of large osseous defects. Previous in vitro studies established their osteoinductive potential, due to the presence of opteoblasts precursors and to high amounts of growth factors contained within. The purpose of this study was to test in vivo the osteoinductive properties of induced membranes on a macroporous HA-TCP in a nonosseous subcutaneous site. Subcutaneous-induced membranes were obtained in 21 rabbits; 1 month later, the membranes were filled with a biphasic calcium phosphate material composed of 75% hydroxyapatite (HA) and 25% beta-tricalcium phosphate associated or not with autograft. Histological and immunohistochemical studies were performed on membrane biopsies. Undecalcified and decalcified sections were qualitatively and quantitatively analyzed. (45)Ca uptake was observed and quantified on the sections using microimager analysis. Dense vascularity was found in the induced membranes. New bone formation was detected in the HA-TCP + autograft samples and increased significantly from 3 to 6 months (p < 0.05). No bone was detected in the biomaterial graft alone in the induced membranes at any time. This study showed that induced membranes placed in a nonosseous site have no osteoinductive properties on a macroporous biphasic calcium phosphate biomaterial.

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“…Iliac bone blocks can be taken from either the anterior or posterior ilium. Although the largest amount of bone can be retrieved from the posterior ilium [9], the amount of bone retrieved from the anterior ilium is typically sufficient. By taking bone from the anterior ilium, we also avoid having to change the patient's posture during surgery.…”

Section: Discussionmentioning

confidence: 99%

The Use of Iliac J-Bone Block for Three Dimensional Correction of Alveolar Defect

Chen¹,

Ko²,

Fuh³

et al. 2016

Dentistry

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Morbidity from bone harvest in major jaw reconstruction: A randomized trial comparing the lateral anterior and posterior approaches to the llium

Cited by 205 publications

References 6 publications

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

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

Subcutaneous‐induced membranes have no osteoinductive effect on macroporous HA‐TCP in vivo

The Use of Iliac J-Bone Block for Three Dimensional Correction of Alveolar Defect

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