Conway Janet D
International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
Orthop Clin North Am. 2010 Jan;41(1):75-84; table of contents. doi: 10.1016/j.ocl.2009.07.006.
This article focuses on comparing patient morbidity with harvesting bone graft for the treatment of nonunions from three different sites. Anterior iliac crest graft is the most commonly used site; however, the posterior iliac crest and intramedullary canal provide greater quantities of bone. The anterior and posterior iliac crests also have some donor site complications such as nerve injury and persistent pain. The intramedullary canal, when compared with anterior and posterior iliac crest, offers the largest quantity of bone graft with the least amount of patient donor site morbidity. The intramedullary canal also appears to be a bone graft source that can be reharvested, unlike the anterior and posterior iliac crest donor sites.
本文重点比较从三个不同部位获取骨移植材料治疗骨不连时患者的发病率。髂前嵴移植是最常用的部位;然而,髂后嵴和髓腔能提供更多的骨量。髂前嵴和髂后嵴也存在一些供区并发症,如神经损伤和持续性疼痛。与髂前嵴和髂后嵴相比,髓腔提供的骨移植材料量最大,而患者供区发病率最低。与髂前嵴和髂后嵴供区不同,髓腔似乎也是一个可以再次获取骨移植材料的来源。