More weighted cancellous bone can be harvested from the proximal tibia with less donor site pain than anterior iliac crest corticocancellous bone harvesting: retrospective review

Journal of Orthopaedic Surgery and Research

Jae-Woo Cho¹  Whee Sung Son¹  Eic Ju Lim¹  Hanju Kim¹  Wonseok Choi¹  Seungyeob Sakong¹  Jong-Keon Oh¹  Aditya Kaja²  Ajit Kumar Kar³ 

[1] Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University Medicine, 148, Gurodong-ro, Guro-gu, 08308, Seoul, South Korea;Department of Orthopedic Surgery, James Cook University Hospital, Middlesbrough, UK;Department of Orthopedic Surgery, Shanti memorial Hospital, Cuttack, India;

关键词: Autogenous bone graft;    Harvesting donor site;    Iliac crest vs Proximal tibia;    Harvesting amounts;    Donor site pain;   

DOI  :  10.1186/s13018-021-02364-y

来源: Springer

【 摘 要 】

BackgroundIliac crest is the most preferred autogenous bone graft harvesting donor site while it has sorts of complications like prolonged pain, hematoma, and fracture. Harvesting cancellous bone from proximal tibia is also increasingly being used because of lower complications and less donor site pain. However, there are lack of studies to compare these two donor sites in detail. Thus, we proposed to investigate the available amount of autogenous bone graft from the proximal tibia.MethodsFifty-one patients who underwent simultaneous bone graft harvest from the PT and the AIC to fill up the given critical sized bone defects were enrolled in this study. We prospectively collected data including the weight of the harvested bone, donor site pain using the visual analog scale (VAS) score, and complications between the two sites.ResultsThe mean weight of cancellous bone harvested from the PT was greater than AIC (33.2g vs. 27.4g, p = 0.001). The mean VAS score was significantly lesser in the PT up to 60 days after harvesting (p < 0.001). There was persistent pain up to 90 days in four PT patients and in seven AIC patients. The major complication was reported only in AIC patients (11.8%).ConclusionsHarvesting cancellous bone from the PT is an acceptable alternative to the AIC for autogenous bone grafting owing to availability of more weighted graft bone and less donor site pain.

【 授权许可】

CC BY