Surgical harvesting of bone graft from the ilium: point of view

Proximal Tibia Fracture after Proximal Tibia Autograft Harvest

“…The rate of major complications that resolve with intervention, including neurologic injury, vascular injury, deep infection, large hematoma, bowel herniation, ureteral injury, and fracture and pelvic instability are reported to range from 2.5% to 39%. The rate of minor complications that resolve without intervention such as persistent donor site pain, seromas, cosmetic defects, and temporary paresthesia range from 10 to 40% [4][5][6]. Due to the relatively high rate of complications with iliac crest bone grafts, other harvesting sites have gained popularity such as distal femur, proximal tibia, distal tibia, and local surgical site grafts.…”

Efficacy of minimally invasive techniques for enhancement of fracture healing: evidence today

“…The surgical technique usually implies extended incisions for the revision of fixation of the affected bone [3,17,39,49,65,96,105,112]. The use of judiciously applied orthopaedic implants through limited incisions to treat fractures and nonunions is a recently developed alternative to the traditional techniques [92].…”

“…However, its limited availability, as well as the donor site morbidity and complications such as chronic pain, neurovascular injury and infection have dictated the need for the development of alternative methods of biological stimulation [3,15,17,24,34,35,39,49,96,105,112]. Other methods of biological stimulation, used either alone or in combination, include allo-grafting, the use of electrical, ultrasound, and shockwave stimulation, a variety of bone graft substitutes, with either osteoconductive or both osteoconductive and osteoinductive properties and bone marrow injections [26,52,73,84,87,90,122].…”

Transplanted xenogenic bone marrow stem cells survive and generate new bone formation in the posterolateral lumbar spine of non-immunosuppressed rabbits

“…However, harvesting autogenous bone graft is inevitably associated with donor site morbidities and increased surgical time [27]. Therefore, extensive basic and clinical researches have been directed at developing alternatives to autogenous bone graft [11,15,17,18,21,26].…”