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Donor site morbidity after harvesting of proximal tibia bone
Author(s) -
Chen YuanChien,
Chen ChungHo,
Chen PaiLi,
Huang IYueh,
Shen YeeShyong,
Chen ChunMing
Publication year - 2006
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20452
Subject(s) - medicine , tibia , surgery , cancellous bone , bone grafting , complication , dentistry
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. © 2006 Wiley Periodicals, Inc. Head Neck 28:496–500, 2006