Tibial bone fractures occurring after medioproximal tibial bone grafts for oral and maxillofacial reconstruction
김일규, 조현영, 배상필, 정범상, 조현우, 서지훈,
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김일규 ( Kim Il-Kyu ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
조현영 ( Cho Hyun-Young ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
배상필 ( Pae Sang-Pill ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
정범상 ( Jung Bum-Sang ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
조현우 ( Cho Hyun-Woo ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
서지훈 ( Seo Ji-Hoon ) - Inha University School of Medicine Department of Oral and Maxillofacial Surgery
KMID : 0355620130390060257
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.
키워드
Tibial fracture; Tibia; Bone graft; Postoperative complication
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