Tibial bone fractures occurring after medioproximal bibial bone grafts for oral and maxillofacial reconstruction

Title
Tibial bone fractures occurring after medioproximal bibial bone grafts for oral and maxillofacial reconstruction
Authors
김일규
Keywords
Tibial fracture, Tibia, Bone graft, Postoperative complication
Issue Date
2013
Publisher
대한구강악안면외과학회지
Series/Report no.
대한구강악안면외과학회지 ; 제39권 제6호 pp 257~262
Abstract
Objectives: Oral and maxillofacial defects often require bone grafts to restore missing tissues. Well-recognized donor sites include the anterior and posterior iliac crest, rib, and intercalvarial diploic bone. The proximal tibia has also been explored as an alternative donor site. The use of the tibia for bone graft has many benefits, such as procedural ease, adequate volume of cancellous and cortical bone, and minimal complications. Although patients rarely complain of pain, swelling, discomfort, or dysfunction, such as gait disturbance, both patients and surgeons should pay close attention to such after effects due to the possibility of tibial fracture. The purpose of this study is to analyze tibial fractures that occurring after osteotomy for a medioproximal tibial graft. Materials and Methods: An analysis was intended for patients who underwent medioproximal tibial graft between March 2004 and December 2011 in Inha University Hospital. A total of 105 subjects, 30 females and 75 males, ranged in age from 17 to 78 years. We investigated the age, weight, circumstance, and graft timing in relation to tibial fracture. Results: Tibial fractures occurred in four of 105 patients. There were no significant differences in graft region, shape, or scale between the fractured and non-fractured patients. Conclusion: Patients who undergo tibial grafts must be careful of excessive external force after the operation.
URI
http://dx.doi.org/10.5125/jkaoms.2013.39.6.257
http://dspace.inha.ac.kr/handle/10505/33875
ISSN
2234-7550
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Local Access Journal Papers, Reports(의학 논문, 보고서)

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