Arrington E D, Smith W J, Chambers H G, Bucknell A L, Davino N A
Orthopaedic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, TX, USA.
Clin Orthop Relat Res. 1996 Aug(329):300-9. doi: 10.1097/00003086-199608000-00037.
Autologous bone grafts harvested from the iliac crest are commonly used in reconstructive orthopaedic surgery. Autologous bone is used to help promote bone healing in fractures and to provide structural support for reconstructive surgery. The results of autologous bone grafting are more predictable than the use of xenografts, cadaveric allografts, or synthetic bone substitutes because autologous bone grafts provide osteoinductive and osteoconductive properties, are not immunogenic, and are usually well incorporated into the graft site. In a retrospective review of 414 consecutive cases of iliac crest bone graft procedures performed at Brooke Army Medical Center from 1983 to 1993, 41 (10%) minor and 24 (5.8%) major complications were identified. Minor complications included superficial infections, superficial seromas, and minor hematomas. Major complications included herniation of abdominal contents through massive bone graft donor sites, vascular injuries, deep infections at the donor site, neurologic injuries, deep hematoma formation requiring surgical intervention, and iliac wing fractures. Harvesting of iliac crest bone graft can be associated with significant morbidity. However, with adequate preoperative planning and proper surgical technique, the incidence of these complications can be reduced.
从髂嵴获取的自体骨移植常用于骨科重建手术。自体骨用于促进骨折愈合，并为重建手术提供结构支撑。自体骨移植的效果比使用异种骨、尸体同种异体骨或合成骨替代物更可预测，因为自体骨移植具有骨诱导和骨传导特性，不具有免疫原性，并且通常能很好地融入移植部位。在对1983年至1993年在布鲁克陆军医疗中心连续进行的414例髂嵴骨移植手术的回顾性研究中，发现了41例（10%）轻微并发症和24例（5.8%）严重并发症。轻微并发症包括浅表感染、浅表血清肿和轻微血肿。严重并发症包括腹腔内容物通过大量骨移植供区疝出、血管损伤、供区深部感染、神经损伤、需要手术干预的深部血肿形成以及髂骨翼骨折。获取髂嵴骨移植可能会导致明显的发病率。然而，通过充分的术前规划和适当的手术技术，这些并发症的发生率可以降低。
