Donor site morbidity after harvesting of proximal tibia bone

TitleDonor site morbidity after harvesting of proximal tibia bone
Publication TypeJournal Article
Year of Publication2006
AuthorsChen YC, Chen CH, Chen PL, Huang IY, Shen YS, Chen CM
JournalHead Neck
Pagination496 - 500
Date PublishedJun
ISSN1043-3074 (Print) 1043-3074 (Linking)
Accession Number16673417
Keywords*Bone Transplantation / methods / standards, Adult, Female, Follow-Up Studies, Head and Neck Neoplasms / *surgery, Humans, Male, Middle Aged, Morbidity, Oral Surgical Procedures / *standards, Postoperative Complications / *epidemiology, Reconstructive Surgical Procedures / *standards, Retrospective Studies, Risk Factors, Tibia / *transplantation, Tissue and Organ Harvesting / methods / standards

BACKGROUND: Bone-grafting procedures are common in head and neck surgery. Donor site morbidity is an important factor in deciding the site for harvest of cancellous bone. The tibia has been recommended as a harvest site. Use of the proximal tibia as a donor site is associated with few complications. Our present study used proximal tibia bone grafts to reconstruct maxillofacial defects and augment bone volume for implantation. METHODS: A retrospective study was undertaken to analyze 40 proximal tibia bone grafts in maxillofacial reconstruction. Minimal follow-up was 6 months. RESULTS: There were no major complications during the follow-up period. Early minor complications (15%) included temporary sensory loss and ecchymosis. Late minor complication (2.5%) was gait disturbance for 2 months. Long-term minor complication (2.5%) was an unsightly scar. CONCLUSION: The procedure for proximal tibia bone graft is easy, has less operative risk, and results in a lower postoperative morbidity rate. Based on our findings, we believe the proximal tibia offers a reliable site for harvest of sufficient quantities of good-quality cancellous bone.

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