Complications Associated With Anterior Iliac Crest Bone Grafting for the Reconstruction of Dentoalveolar Defects

The aim of this study is to evaluate donor- and recipient-site complications of iliac bone grafting for the reconstruction of atrophic jaws. Our study includes 86 consecutive patients with atrophic jaws who underwent iliac bone grafting surgery. At the donor site, hematoma, infection, paresthesia, chronic pain, prolonged gait disturbance, fracture of the ilium, and esthetic concerns; at the recipient site, hematoma, infection, prolonged pain, graft exposure, graft loss, and loss of the implants were evaluated. Grafting was successfully performed in all patients. The mean follow-up period was 35 months. Prolonged gait disturbance (20.9%) and paresthesia (9.3%) were the most frequently observed donor-site complications. At the recipient site, hematoma (8.1%), infection (12.8%), prolonged pain (11.6%), partial graft exposure (33.7%), total graft exposure (7%), partial graft loss (17.4%), and total graft loss (5.8%) were observed. Reconstruction of atrophic jaws can be achieved successfully with iliac bone grafting. However, there are possible donor- and recipient-site complications that have to be taken into consideration. Address correspondence and reprint requests to Emre Tosun, DDS, PhD, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Hacettepe University, Sihhiye, Ankara 06100, Turkey; E-mail: dremretosun@gmail.com Received 8 October, 2018 Accepted 26 December, 2018 The authors report no conflicts of interest. © 2019 by Mutaz B. Habal, MD.

https://ift.tt/2ErMIYM