Hernia through an iliac crest bone-graft donor site

Evaluation of the Proximal Tibia as a Donor Site of Cancellous Bone for Intraoral Grafting Procedures-A Retrospective Study

Background: Autogenous bone grafts remain the “gold standard” in maxillofacial reconstructive procedures. The objective of this study was to evaluate the proximal tibia as a donor site of cancellous bone for bone grafting procedures of the mandible on the basis of intraoperative parameters and clinical observations. Methods: The study was based on a medical record search of 40 patients who underwent surgical procedures because of benign pathological lesions of the jaws resulting in 3-wall bone defects of the mandible and qualified for surgical removal of the lesion with simultaneous bone grafting of the defect with autogenous cancellous bone harvested from the proximal tibia. Results: The use of the proximal tibia for bone grafting procedures enables large amounts of cancellous bone (15.09 cc in average) to be obtained. The procedure is characterized by a low risk of early and late complications, which include excessive bleeding, wound infection, lengthy healing time, scars, a loss of sensation around the scars, aching, a dip in bone, swelling and tenderness. Conclusions: The ability to obtain large amounts of cancellous bone and a low risk of intra- and postoperative complications make the proximal tibia an attractive donor site for the bone grafting procedures in maxillofacial surgery.

Long-term complications of distal radius bone grafts

PURPOSE

To assess long-term results and complications of cancellous bone graft taken from the distal radius.

METHODS

A total of 1670 cases of bone graft taken from the distal radius for various indications were reviewed retrospectively. The patients were evaluated for success of bone grafting and for the following complications: fracture through donor site, local infection, DeQuervain's tenosynovitis, and neuroma of the superficial radial nerve.

RESULTS

The overall complication rate including bone graft failure within a mean follow-up period of 4.5 years was 4%. Bone graft failure required regrafting with iliac bone in 38 patients (2.3%). DeQuervain's tenosynovitis was noted in 21 patients (1.3%), local soft-tissue infection was noted in 3 patients (0.2)%, fracture through donor site was noted in 2 patients (0.1%), and superficial radial nerve neuromas were noted in 2 patients (0.1%). There were no cases of osteomyelitis.

CONCLUSIONS

Bone grafting from the distal radius is effective with minimal complications and is a practical adjunct to reconstructive hand procedures.