Donor site complications after harvesting bone graft from the anterior iliac crest in oral and maxillofacial surgery

الملخص EN

This prospective study of a donor site complications after harvesting bone grafts from the anterior iliac crest, 40 consecutive autogenous iliac crest bone grafts were performed by maxillofacial surgeons in the maxillofacial unit, 10th floor Specialized Surgeries hospital.

Complications had been divided into two groups major, which include (Deep infection, extensive hematoma, pain lasting longer than 2months, sensory loss more than 2 months, subluxation, gait disturbance, herniations of the abdominal content, iliac wing fracture and vascular injury) and minor, which include (superficial infection, minor wound dehiscence, temporary sensory loss and transient pain less than 2 months). In this study 3types of approaches had been used superior- lateral approach, superiormedial approach and lateral approach.

All patients were followed up for months by regular out patient visit every week following their discharge from the hospital.

Nine patients represent (22.5 %) of the total cases had donor site complications of (33.3 %) major and (66 %) minor, 2 patients (5 %) had deep infection, 1 patients (2.5 %) had extensive hematoma, 2 patients(5 %) had temporary sensory loss, 1 patient (2.5 %) had superficial infection, 1 patient (2.5 %) had wound dehisces and 2 patients (5 %) had transient donor site pain.

Harvesting of iliac crest bone grafts might be associated with certain complications, however adequate preoperative planning and proper surgical technique, required to reduce the incidence of these complications.