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Published on: February 10, 2014
Modified iliac bone harvesting--morbidity and patients' experience
Nicole Falkensammer1, Robert Kirmeier, Christine Arnetzl
1Department of Oral Surgery and Radiology, School of Dental Medicine, Medical University of Graz, Graz, Austria.
Summary
Harvesting bicortical bone grafts from the ilium using a modified technique resulted in minimal complications and high patient satisfaction. This procedure is a viable option for reconstructing extensive maxillary defects.
Area of Science:
- Oral Surgery
- Orthopedic Surgery
- Regenerative Medicine
Background:
- Iliac bone grafts are crucial for reconstructing extensive maxillary defects.
- Evaluating surgical techniques for bone graft harvesting is essential for optimizing patient outcomes.
Purpose of the Study:
- To assess postoperative morbidity following bicortical bone graft harvesting from the anterior iliac wing.
- To evaluate patient satisfaction with a modified surgical technique for iliac bone graft harvesting.
Main Methods:
- Retrospective study of 32 patients who underwent bicortical bone block harvesting from the ilium.
- Utilized a modified harvesting technique.
- Evaluated clinical records, donor site examinations, and patient-reported outcomes.
Main Results:
- Low complication rates: 1 hematoma, 1 infected wound, 1 seroma.
- Patients experienced pain relief within 3-14 days post-surgery.
- High patient acceptance: 84% would repeat the treatment, 87% would recommend it.
Conclusions:
- Modified iliac bone graft harvesting technique demonstrates minor complications and morbidity.
- High patient satisfaction supports the use of iliac bone grafts for maxillary reconstruction.
