Anterior and Posterior Iliac Crest Bone Graft Donor Site Morbidities: A Comparing Retrospective Study
Journal Title: The Medical Journal of Bakırköy - Year 2019, Vol 15, Issue 3
Abstract
Objective: Autogenous bone grafts are frequently used in orthopedic surgery. The most common donor site for autogenous bone grafting is the iliac crest (IC). A number of complications have been reported after IC bone graft harvesting. The aim of this study was to compare anterior and posterior IC (AIC and PIC) harvesting site morbidities and postoperative subjective pain levels. Methods: Eighty-seven patients were included in the study. Grafts were harvested from the posterior IC in 21 patients and from the AIC in 66 patients. We retrospectively reviewed all patients’ preoperative demographics, types of graft obtained, scar dimensions (cm), and donor site complications. Pain level at harvesting site is evaluated with visual analog scale (VAS) score on a postoperative day 1, 7, 2 weeks, 4 weeks, 8 weeks, and final follow-up. Results: There was no statistically significant difference between the groups with respect to the preoperative demographics, types ratio of graft obtained, the mean follow-up time, complications ratio, and the mean VAS scores on 28, 56, and final follow-up. The mean VAS scores on 1, 7, and 14 in the ICA group were significantly higher than in the ICP group. The mean scar dimension of the ICP group was significantly higher than of the ICA group. Conclusion: The AIC and PIC are optimal donor sites for harvesting. There was no difference in perioperative and postoperative complications between the AIC and PIC donor sites. Autologous bone grafting from the PIC decreased pain at the donor site compared to the AIC for at least two postoperative weeks. However, the PIC donor site had a poorer cosmetic appearance.
Authors and Affiliations
Mehmet Ali Talmaç, Mehmet Akif Görgel, Muharrem Kanar, Samet Erinç, Ahmet Hamdi Olçar, Hacı Mustafa Özdemir
Keywords
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- EP ID EP50396
- DOI 10.4274/BTDMJB.galenos.2019.20181024012248
- Views 224
- Downloads 0
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