Seiler J G, Johnson J
Georgia Hand and Microsurgery Clinic, Atlanta 30309, USA.
J South Orthop Assoc. 2000 Summer;9(2):91-7.
Autogenous bone grafting is often done in orthopaedic surgery for a variety of conditions. The iliac crest is currently the most common donor site for obtaining autogenous bone graft. We searched the literature to summarize reported complications related to the donation of autogenous bone from the iliac crest. Our review revealed reports of arterial injury, ureteral injury, herniation, chronic pain, nerve injury, infection, fracture, pelvic instability, cosmetic defects, hematoma, and tumor transplantation. Currently, autogenous bone grafting is a necessary part of the treatment of various orthopaedic conditions. Obtaining bone from the iliac crest can be associated with significant morbidity. As bone grafting technology emerges, the known complications of the current standard should be weighed against the risk of alternate therapies.
自体骨移植在骨科手术中常用于多种病症。目前，髂嵴是获取自体骨移植最常用的供骨部位。我们检索了文献，以总结与髂嵴自体骨供骨相关的报道并发症。我们的综述显示了有关动脉损伤、输尿管损伤、疝形成、慢性疼痛、神经损伤、感染、骨折、骨盆不稳定、美容缺陷、血肿和肿瘤移植的报道。目前，自体骨移植是各种骨科病症治疗的必要组成部分。从髂嵴获取骨可能会伴有显著的发病率。随着骨移植技术的出现，应权衡当前标准已知的并发症与替代疗法的风险。
