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Piezo harvesting of bone grafts from the anterior iliac crest: A technical note

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Autogenous bone graft harvesting from the iliac crest is associated with donor site morbidity. The aim of this report is to describe the use of piezosurgery as an attempt at morbidity reduction.

Materials and methods:: A piezosurgical handpiece and its selection of tips can easily be accommodated in an iliac crest wound to osteotomize and allow the harvest and delivery of autogenous bone grafts.

Results:: Corticocancellous blocks or cancellous strips of autogenous bone can be readily harvested using a piezosurgical technique at the anterior iliac crest.

Conclusion:: Piezosurgery avoids some of the traumatic aspects of harvesting bone associated with the use of conventional rotary instruments or saws.

No MeSH data available.


Related in: MedlinePlus

Appearance of healing iliac crest bone graft harvest wound 2 weeks after harvesting procedure
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Figure 4: Appearance of healing iliac crest bone graft harvest wound 2 weeks after harvesting procedure

Mentions: The piezosurgical tip easily allows the creation of a straight line osteotomy through the medial cortex, up to the level of the lateral cortex but not through it [Figure 3]. A trap door at the anterior iliac crest allows access to the superior most aspect of the iliac crest which is moved laterally exposing the underlying cancellous bone. The depths of the piezo osteotomies cuts can be visualized. A chisel can then be used in a gentle prying fashion to deliver the corticocancellous block or cancellous strips. Wound closure is unaltered by the piezosurgery [Figure 4].


Piezo harvesting of bone grafts from the anterior iliac crest: A technical note
Appearance of healing iliac crest bone graft harvest wound 2 weeks after harvesting procedure
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4979352&req=5

Figure 4: Appearance of healing iliac crest bone graft harvest wound 2 weeks after harvesting procedure
Mentions: The piezosurgical tip easily allows the creation of a straight line osteotomy through the medial cortex, up to the level of the lateral cortex but not through it [Figure 3]. A trap door at the anterior iliac crest allows access to the superior most aspect of the iliac crest which is moved laterally exposing the underlying cancellous bone. The depths of the piezo osteotomies cuts can be visualized. A chisel can then be used in a gentle prying fashion to deliver the corticocancellous block or cancellous strips. Wound closure is unaltered by the piezosurgery [Figure 4].

View Article: PubMed Central - PubMed

ABSTRACT

Background:: Autogenous bone graft harvesting from the iliac crest is associated with donor site morbidity. The aim of this report is to describe the use of piezosurgery as an attempt at morbidity reduction.

Materials and methods:: A piezosurgical handpiece and its selection of tips can easily be accommodated in an iliac crest wound to osteotomize and allow the harvest and delivery of autogenous bone grafts.

Results:: Corticocancellous blocks or cancellous strips of autogenous bone can be readily harvested using a piezosurgical technique at the anterior iliac crest.

Conclusion:: Piezosurgery avoids some of the traumatic aspects of harvesting bone associated with the use of conventional rotary instruments or saws.

No MeSH data available.


Related in: MedlinePlus