A prospective study of factors influencing morbidity after iliac crest harvesting for oral onlay grafting

作者：Fretwurst T^*; Wanner L; Nahles S; Raguse J D; Stricker A; Metzger M C; Nelson K

来源：Journal of Cranio-Maxillofacial Surgery, 2015, 43(5): 705-709.

DOI：10.1016/j.jcms.2015.03.023

• Iliac onlay graft
• Augmentation
• Morbidity
• Autogenous
• Alveolar atrophy
• Body mass index (BMI)

Objective: The present study evaluates the morbidity after iliac crest harvesting from the anterior iliac rim for oral onlay grafting and identifies influential factors.
Material and methods: Twenty partially edentulous or edentulous patients (15 females and 5 males) with a mean age of 54.25 years (range 20-78 years, SD 13.86 years, remaining bone height <5 mm of the alveolar ridge) underwent iliac onlay bone grafting. The postoperative clinical morbidity was classified in minor and major complications and was evaluated with respect to body mass index (BMI).
Results: The grafting procedure was successfully performed in all patients with a mean BMI of 23.34 (range 18-29, SD 3.36). A significant difference between BMI and walking aid necessity (p = 0.018) was demonstrated, but no difference between BMI and hip pain, duration of disturbance, gait disturbance, complication rate, and sensory loss was identified (p > 0.05). Between hip pain and scar length, age and hip/jaw pain did not demonstrate a significant difference (p > 0.05). Postoperative complications were minor and consisted of hematoma, seroma, and transient sensory disturbance.
Conclusion: Patients undergoing bone harvest from the anterior superior iliac crest with oral grafting show a low minor complication rate and a high overall satisfaction of 95%.

• 出版日期2015-6