Dütting A, Thomas W, Lorenz H, Holst A
I. Orthopädische Abteilung Allgemeines Krankenhaus Barmbek, Hamburg.
Z Orthop Ihre Grenzgeb. 1988 Jan-Feb;126(1):44-7. doi: 10.1055/s-2008-1044866.
Between April 1978 and December 1983, 206 operations to obtain autologous bone were performed in the Orthopedic Department of Barmbek General Hospital. In 1985, 125 patients were analyzed by means of a detailed questionnaire and a clinical examination. A total of 55.2% of the 125 patients were free of complaints following removal of bone. In 37.6% there were slight to moderate, and in 7.2% severe to extremely severe complications. The most common type of complaint was persistent postoperative pain (40%). Neural damage, i.e., hypesthesia and dysesthesia, was observed in 21.6% of the cases. An increased postoperative tendency to swelling was seen in 12.8% of the 125 patients. There was also one case of fracture of the shaft of the tibia in the area where bone had been removed. Other complications were rare. All in all, the postoperative complications following removal of a chip from the shin were the most serious. Complaints due to removal from the posterior iliac crest were considerably less severe. The least problematic courses were those after removal from the anterior iliac crest. Removal of coritcospongious chips from the tibia should be avoided if at all possible. The removal site of choice is the anterior iliac crest, unless the posterior crest has to be preferred because of the surgical technique employed.
1978年4月至1983年12月期间，巴尔姆贝克综合医院骨科进行了206例获取自体骨的手术。1985年，通过详细问卷和临床检查对125例患者进行了分析。125例患者中，共有55.2%在取骨后无不适主诉。37.6%的患者有轻度至中度并发症，7.2%的患者有重度至极重度并发症。最常见的主诉类型是术后持续疼痛（40%）。21.6%的病例观察到神经损伤，即感觉减退和感觉异常。125例患者中有12.8%术后肿胀倾向增加。在取骨部位还出现了1例胫骨干骨折。其他并发症很少见。总体而言，从胫骨取骨后的术后并发症最为严重。从髂后嵴取骨引起的不适要轻得多。从髂前嵴取骨后的情况问题最少。如果可能，应尽量避免从胫骨取皮质松质骨碎片。除非由于所采用的手术技术必须优先选择髂后嵴，否则首选的取骨部位是髂前嵴。
