Donor site morbidity following iliac crest bone graft / Morbilidad del sitio donante tras un injerto óseo de cresta ilíaca
West Indian med. j
;
57(5): 490-492, Nov. 2008. tab
Article
in English
| LILACS
| ID: lil-672405
ABSTRACT
OBJECTIVES:
To evaluate the complications of harvesting autogenous bone from the iliac crest.METHODS:
A retrospective review of patients undergoing iliac crest bone grafting at the University Hospital of the West Indies, during the period 2000-2004, was performed. One hundred and three patients were identified. Thirty-two patients were successfully contacted and 30 completed the questionnaire. There were 18 males (60%) and 12 females (40%). Their ages ranged from 13 years to 80 years (average 45.6 years).RESULTS:
Of the 30 patients, 22 (73.3%) had complications. Fourteen (46.6%) patients had temporary pain; five (16.6%) had chronic pain. Two (6.6%) changed position of clothing due to discomfort at the graft site; five (16.6%) experienced difficulty walking, one reported itching of the scar, one had altered sensation and one was unhappy with the scar. Fourteen patients (46.6%) had minor complications and eight patients (26.6%) had major complications.CONCLUSION:
Autogenous iliac crest bone grafting is associated with significant complications.RESUMEN
OBJETIVOS:
Evaluar las complicaciones de la cosecha de hueso autógeno de la cresta iliaca.MÉTODOS:
Se realizó una revisión retrospectiva de pacientes a los que se les practicó el injerto de hueso de cresta iliaca en el Hospital Universitario de West Indies durante el periodo 2000-2004. Se identificaron ciento tres pacientes. Se logró contactar a treinta y dos de ellos, y 30 respondieron el cuestionario. Hubo 18 varones (60%) y 12 hembras (40%). La edad abarcó de 13 años a 80 años (promedio 45.6 años)RESULTADOS:
De los 30 pacientes, 22 (73.3%) tuvieron complicaciones. Catorce (46.6%) pacientes tuvieron dolor temporal; 5 (16.6%) tenían dolor crónico. Dos (6.6%) cambiaron la posición de la ropa porque sentían malestar en el sitio del injerto; 5 (16.6%) experimentaron dificultad al caminar; uno reportó sentir comezón en la cicatriz; otro sentía alteración en sus sensaciones, y un último no se sentía satisfecho debido a la cicatriz. Catorce pacientes (46.6%) tuvieron complicaciones menores y ocho pacientes (26.6%) tuvieron complicaciones mayores.CONCLUSIÓN:
El injerto de hueso autógeno de la cresta iliaca está asociado con complicaciones significativas.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pain, Postoperative
/
Postoperative Complications
/
Tissue Donors
/
Bone Transplantation
/
Tissue and Organ Harvesting
/
Ilium
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Country/Region as subject:
English Caribbean
/
Jamaica
Language:
English
Journal:
West Indian med. j
Journal subject:
Medicine
Year:
2008
Type:
Article
Affiliation country:
Jamaica
Institution/Affiliation country:
The University of the West Indies/JM
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