Minimally invasive percutaneous technique for harvesting iliac crest graft using a tap and drill sleeve
DOI:
https://doi.org/10.15584/ejcem.2024.3.22Keywords:
bone grafting, donor site morbidity, iliac crest, minimally invasive technique, percutaneous, tap and drill sleeveAbstract
Introduction and aim. Orthopedic surgeries often require acquiring cancellous bone grafts, commonly sourced from the iliac crest. Traditional harvesting methods pose risks of donor site morbidity, prompting interest in minimally invasive techniques. This study introduces and evaluates the efficacy and safety of a percutaneous technique using a tap and drill sleeve for iliac crest bone graft harvesting. This study aims to assess outcomes and complications associated with a minimally invasive percutaneous technique for iliac crest bone graft harvesting through a retrospective analysis of twenty patients undergoing upper limb reconstructive surgery.
Material and methods. A retrospective analysis was conducted on twenty patients who underwent upper limb reconstructive surgery between January and March 2023. The technique involved making a bone deep stab incision, precisely positioning a drill and tap sleeve, utilizing controlled tapping techniques, and extracting the graft. Post-operative assessments included evaluating pain levels, ambulation, and patient satisfaction.
Results. The minimally invasive percutaneous technique demonstrated favorable outcomes, with reduced donor site morbidity observed. Within 24 hours post-operatively, 70% of patients reported low visual analogue scale scores, and 80% regained normal walking ability. No instances of post-operative paresthesia were reported.
Conclusion. The examined minimally invasive percutaneous technique for iliac crest bone graft harvesting showed reliability and safety, particularly in low resource settings. Utilizing basic orthopedic tools such as tap and drill sleeves offers accessibility and affordability. This approach could effectively mitigate donor site morbidity in orthopedic reconstructive treatments.
Downloads
References
Roberts TT, Rosenbaum AJ. Bone grafts, bone substitutes and orthobiologics: the bridge between basic science and clinical advancements in fracture healing. Organogenesis. 2012;8(4):114-124. doi:10.4161/org.23306
Campana V, Milano G, Pagano E, et al. Bone substitutes in orthopedic surgery: from basic science to clinical practice. J Mater Sci Mater Med. 2014;25(10):2445-2461. doi:10.1007/s10856-014-5240-2
Myeroff C, Archdeacon M. Autogenous bone graft: donor sites and techniques. J Bone Joint Surg Am. 2011;93(23):2227-2236. doi:10.2106/JBJS.J.01513
Pokharel RK, Paudel S, Lakhey RB. Iliac crest bone graft harvesting: modified technique for reduction of complications. JNMA J Nepal Med Assoc. 2022;60(247):325-328. doi:10.31729/jnma.7086
Ebraheim N, Elgafy H, Xu R. Bone‐graft harvesting from iliac and fibular donor sites: techniques and complications. J Am Acad Orthop Surg. 2001;9(3):210-218. doi:10.5435/00124635-200105000-00007
Saha A, Shah S, Waknis P, Bhujbal P, Aher S, Vaswani V. Comparison of minimally invasive versus conventional open harvesting technique for iliac bone graft in secondary alveolar bone grafting in cleft palate patients: a systematic review. J Korean Assoc Oral Maxillofac Surg. 2019;45(5):241-253. doi:10.5125/jkaoms.2019.45.5.241
McLain RF, Techy F. Trephine technique for iliac crest bone graft harvest: long-term results. Spine. 2021;46(1):41-47. doi:10.1097/BRS.0000000000003702
Arora S, Sankaran A, Dhal A. Minimally-invasive bone graft harvesting technique without sophisticated instruments. The American Journal of Orthopedics. 2014;43(1):45-46.
Missiuna PC, Gandhi HS, Farrokhyar F, Harnett BE, Dore EM, Roberts B. Anatomically safe and minimally invasive transcrestal technique for procurement of autogenous cancellous bone graft from the mid-iliac crest. Can J Surg. 2011;54(5):327-332. doi:10.1503/cjs.028010
Sezavar M, Mesgarzadeh V, Shafayifard S, Soleimanpour MR. Management of bone grafting complications in advanced implant surgery. In: Bagheri SC, ed. A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2. IntechOpen; 2015. doi:10.5772/59834
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 European Journal of Clinical and Experimental Medicine
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.
All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.
