Comparison of Donor-Site Engraftment After Harvesting Vascularized and Nonvascularized Iliac Bone Grafts
Comparison of Donor-Site Engraftment After Harvesting Vascularized and Nonvascularized Iliac Bone Grafts
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DOI：
10.1016/j.joms.2009.04.013
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发表时间：
2009-08-01
影响因子：
1.9
通讯作者：
Gerressen, Marcus
中科院分区：
文献类型：
--
作者：
Ghassemi, Alireza;Ghassemi, Mehrangiz;Gerressen, Marcus
目的：本研究的目的是表征非血管化和血管化髂骨移植物采集后供体部位的发病率。患者和方法：收集了 353 名患者的临床数据进行分析。此外，还向所有患者发送了一份调查问卷，询问他们对不同参数的看法。在个体年龄匹配的布局中，我们对 34 名接受非血管化髂骨移植的患者与 34 名接受血管化髂骨移植的患者进行了比较。结果：我们机构越来越多地进行血管化骨移植。无血管组的平均年龄为 41.5 岁，有血管组的平均年龄为 48.6 岁。血管化组骨缺损的主要原因是恶性肿瘤。大多数术后功能问题是在肥胖患者中观察到的。没有患者在供体部位出现严重或长期并发症。取骨量会影响术后敏感性障碍，并引起术后功能问题和疼痛。结论：我们得出结论，髂嵴是采集最大 10 x 3 cm 的血管化和非血管化骨移植的合适部位。对于需要更大骨移植的较大缺损，血管化骨移植更适合，具有更好的可预测愈合能力。如果移植的骨量相似，则血管化骨移植物和非血管化骨移植物之间的供体部位发病率没有显着差异。 (C) 2009 美国口腔颌面外科医师协会 J Oral Maxillofac Surg 67:1589-1594, 2009
Purpose: The objective of this study is to characterize the donor-site morbidity after harvesting of nonvascularized and vascularized iliac bone grafts.Patients and Methods: Clinical data of 353 patients were collected for analysis. In addition, a questionnaire was sent to all patients asking about their perceptions of different parameters. In an individual age-matched layout, we compared 34 patients with nonvascularized iliac bone grafts with 34 patients with vascularized iliac bone grafts.Results: Transplantation of vascularized bone grafts has been increasingly performed at our institution. The mean age was 41.5 years in the nonvascularized group and 48.6 years in the vascularized group. The main reason for the bony defect in the vascularized group was malignancy. The majority of postoperative functional problems were observed in obese patients. No patient had serious or long-term complications at the donor site. The amount of bone graft taken affected postoperative sensitivity disturbance and caused postoperative functional problems and pain.Conclusions: We conclude that the iliac crest is a Suitable site for harvesting both vascularized and nonvascularized bone grafts measuring up to 10 x 3 cm. For larger defects that require a larger bone graft, a vascularized bone graft is more suitable with a better predictable healing capability. No significant differences in donor-site morbidity were found between the vascularized and nonvascularized bone grafts if a similar amount of bone was taken for transplant. (C) 2009 A merican Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg 67:1589-1594, 2009