Marx R E, Morales M J
Division of Oral and Maxillofacial Surgery, University of Miami School of Medicine, FL 33136.
J Oral Maxillofac Surg. 1988 Mar;46(3):196-203. doi: 10.1016/0278-2391(88)90083-3.
A randomized prospective study was done to compare bone harvest morbidity in the lateral anterior versus the lateral posterior approach to the ilium. One hundred consecutive patients, requiring at least 60 ml of bone for continuity defects of the mandible, were randomly placed in equal groups in these two categories. Assessment of morbidity vectors included pain, ambulation, seroma, and blood loss. Results, in part, identified the posterior ilium harvest to have decreased morbidity in all variables. The reduced morbidity encountered, and the greater quantity of available bone, are both related to the anatomic differences between the anterior and posterior ilium. Accepted disadvantages were increased operating time and the need to turn the patient.
进行了一项随机前瞻性研究，以比较髂骨外侧前路与外侧后路取骨的并发症发生率。连续100例因下颌骨连续性缺损至少需要60毫升骨量的患者，被随机分为这两类的均等组。对并发症相关因素的评估包括疼痛、行走能力、血清肿和失血量。部分结果表明，后髂骨取骨在所有变量中的并发症发生率均有所降低。所遇到的并发症发生率降低以及可用骨量增加，均与髂骨前后部的解剖差异有关。公认的缺点是手术时间延长和需要翻动患者。
