T Fretwurst1, L Wanner2, S Nahles3, J D Raguse3, A Stricker2, M C Metzger2, K Nelson2. 1. Department of Oral and Craniomaxillofacial Surgery, Center for Dental Medicine, University Medical Center Freiburg, Hugstetter Straße 55, D-79106, Freiburg, Germany. Electronic address: tobias.fretwurst@uniklinik-freiburg.de. 2. Department of Oral and Craniomaxillofacial Surgery, Center for Dental Medicine, University Medical Center Freiburg, Hugstetter Straße 55, D-79106, Freiburg, Germany. 3. Department of Oral and Maxillofacial Surgery, Navigation and Robotics, Charité Campus Virchow, Berlin, Germany.
Abstract
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%.
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 edentulouspatients (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%.
Authors: Rene Rothweiler; Christian Gross; Emely Bortel; Sarah Früh; Javier Gerber; Elodie Boller; Jonas Wüster; Andres Stricker; Tobias Fretwurst; Gerhard Iglhaut; Susanne Nahles; Rainer Schmelzeisen; Bernhard Hesse; Katja Nelson Journal: Front Bioeng Biotechnol Date: 2022-06-17
Authors: Vittorio Moraschini; Carlos Fernando de Almeida Barros Mourão; Pietro Montemezzi; Ingrid Chaves Cavalcante Kischinhevsky; Daniel Costa Ferreira de Almeida; Kayvon Javid; Jamil Awad Shibli; José Mauro Granjeiro; Monica Diuana Calasans-Maia Journal: Healthcare (Basel) Date: 2021-03-12