Technique for harvesting tibial cancellous bone modified for use in children

We present modifications of the technique of harvesting adult tibial cancellous bone that enables its safe and reliable use in children. We studied 15 children undergoing secondary grafting of alveolar clefts radiographically and clinically and compared them with a similar group of children who had...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 1999-04, Vol.37 (2), p.129-133
Main Authors: Besly, W., Booth, P.Ward
Format: Article
Language:English
Subjects:
Adolescent
Alveolar Process - abnormalities
Alveolar Process - surgery
Biological and medical sciences
Bone Transplantation - methods
Child
Cleft Palate - surgery
Dentistry
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Ilium - transplantation
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Orthopedic surgery
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tibia - transplantation
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Summary:We present modifications of the technique of harvesting adult tibial cancellous bone that enables its safe and reliable use in children. We studied 15 children undergoing secondary grafting of alveolar clefts radiographically and clinically and compared them with a similar group of children who had bone harvested from the iliac crest. Duration of hospital stay (mean 1, range 1–2 compared with 3, range 2–4) analgesic requirements (duration 1–4 days compared with 1–3 weeks) were all considerably less when bone was taken from the proximal tibia and mobility was considerably improved (able to walk on day 1 compared with restricted walking for 1–3 weeks.
ISSN:0266-4356
1532-1940
DOI:10.1054/bjom.1998.0433