PURPOSE: In this study fractures of the iliac crest after split-thickness bone grafting in a patient population treated for preprosthetic reasons were evaluated. PATIENTS AND METHODS: In a retrospective patient population of 146 patients, during a 5-year period (1998 to 2002), 3 avulsion fractures of the iliac crest were noticed. All fractures were postsurgical, occurring as late fractures. A review of the literature regarding etiology, clinical characteristics, and results of treatment is given. RESULTS: In all 3 cases treatment was conservative, consisting of a period of bed rest followed by progressive ambulation. Further recovery was uneventful. CONCLUSIONS: According to this patient population and the literature, late fracture of the iliac crest after split-thickness bone grafting is an uncommon complication. We recommend a harvesting and grafting technique at an appropriate distance from the iliac spine with an oscillating saw. Treatment of an iliac crest fracture is almost always conservative.
PURPOSE: In this study fractures of the iliac crest after split-thickness bone grafting in a patient population treated for preprosthetic reasons were evaluated. PATIENTS AND METHODS: In a retrospective patient population of 146 patients, during a 5-year period (1998 to 2002), 3 avulsion fractures of the iliac crest were noticed. All fractures were postsurgical, occurring as late fractures. A review of the literature regarding etiology, clinical characteristics, and results of treatment is given. RESULTS: In all 3 cases treatment was conservative, consisting of a period of bed rest followed by progressive ambulation. Further recovery was uneventful. CONCLUSIONS: According to this patient population and the literature, late fracture of the iliac crest after split-thickness bone grafting is an uncommon complication. We recommend a harvesting and grafting technique at an appropriate distance from the iliac spine with an oscillating saw. Treatment of an iliac crest fracture is almost always conservative.
Authors: Elias Kontogiorgos; Mohammed E Elsalanty; Uriel Zapata; Ibrahim Zakhary; William W Nagy; Paul C Dechow; Lynne A Opperman Journal: Calcif Tissue Int Date: 2011-05-10 Impact factor: 4.333
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Authors: Elisabet Farré-Guasch; Nathalie Bravenboer; Marco N Helder; Engelbert A J M Schulten; Christiaan M Ten Bruggenkate; Jenneke Klein-Nulend Journal: Materials (Basel) Date: 2018-01-20 Impact factor: 3.623
Authors: Paul Schmitz; Christoph Cornelius Neumann; Carsten Neumann; Michael Nerlich; Sebastian Dendorfer Journal: J Orthop Surg Res Date: 2018-05-09 Impact factor: 2.359