Schaaf Heidrun, Lendeckel Stefan, Howaldt Hans-Peter, Streckbein Philipp
Department of Maxillofacial Surgery, University Hospital Giessen and Marburg GmbH, Giessen, Germany.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109(1):52-8. doi: 10.1016/j.tripleo.2009.08.023.
Autologous bone grafting is a common, standard procedure in maxillofacial surgery. We investigated complications of harvesting bone from the anterior iliac crest.
A retrospective analysis with a 2-year observational period included 75 patients who had undergone iliac bone grafting. Two techniques were examined: the closed osteotomy using a cylinder osteotome (Shepard) and an open procedure with a saw.
One major complication, a fracture of the anterior superior iliac spine, was observed (0.7%). Regarding long-term morbidity, 3 patients (4%) suffered from persistent pain and 2 (2.7%) from persistent sensory disturbance. A correlation by gender showed greater severity of pain directly after graft harvesting in women (P(Wilcoxon) < or = .001). Harvesting of corticocancellous blocks caused more pain than with the cylinder osteotome (P(Median) < or = .07).
The morbidity after iliac crest harvesting was found to be moderate to low, but the procedure is still necessary and frequently used.
自体骨移植是颌面外科常见的标准手术。我们研究了从髂前嵴取骨的并发症。
一项为期2年的回顾性分析纳入了75例行髂骨移植的患者。检查了两种技术：使用圆柱骨凿（谢泼德）的闭合截骨术和使用锯的开放手术。
观察到1例主要并发症，即髂前上棘骨折（0.7%）。关于长期发病率，3例患者（4%）持续疼痛，2例患者（2.7%）持续感觉障碍。按性别进行的相关性分析显示，女性在取骨后直接出现的疼痛更为严重（威尔科克森检验P≤0.001）。取皮质松质骨块比使用圆柱骨凿引起的疼痛更多（中位数检验P≤0.07）。
发现髂嵴取骨后的发病率为中度至低度，但该手术仍然是必要且经常使用的。
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