Iliac crest bone grafting in intraarticular fracture’s surgery. Analysis of the complications
DOI: 10.22138/2500-0918-2017-14-1-5-11
M.V. Gilev, E.A. Volokitina, Y.V. Antoniadi,
V.D. Gvozdevich, F.N. Zverev, D.N. Chernicyn
Ural State Medical University, Yekaterinburg, Russian Federation;
Central City Hospital No. 24, Yekaterinburg, Russian Federation
Abstract. Aim. Present research is devoted to spend the analysis of complications during surgery of iliac crest grafting for intraarticular fractures. Material and methods. The complication’s analysis of iliac crest (IC) bone grafting for surgical treatment of 103 (100.0 %) patients with intraarticularimpressional fractures. The clinical and nonparametric statistical methods were used, assessment of the relationship was carried out using Spearman rank correlation coefficient. Results. In most IC grafting was performed for proximal tibia fractures (N = 45; 47.7 %), average IC graft’s volume was also highest among this group of patients (V = 14.94 ± 2.14 cm3). Infectious-inflammatory complications of «donor site” met at 4 (3.6 %) patients and characterized for the early postoperative period. The main complaint in the late postoperative period was a pain in the area of the iliac wing, varying degrees of symptoms (6 months after surgery — N = 38 (36.9 %); in the 12 months after surgery — N = 21 (20.4 %); 24 months — N = 8 (7.8 %)). Statistically it was found the strong positive correlation between average IC graft’s volume and pain syndromes (ρ = Spearman coefficient 0.851). Conclusion. Modern bone substitutes possessing all qualities of autologous bone for enlargement of impressional traumatic defects may replace the use of autologous donations with their graft and reverse complications of '‘donor site’'.
Keywords: bone grafting, autotransplant, iliac crest, impressional fracture, complications
Received 17.01.2017
For citation:
Gilev M.V., Volokitina E.A., Antoniadi Y.V., Gvozdevich V.D., Zverev F.N., Chernicyn D.N. Iliac crest bone grafting in intraarticular fracture’s surgery. Analysis of the complications. Vestn. Ural. Med. Akad. Nauki. Journal of Ural Medical Academic Science. 2017, Vol. 14, no. 1, pp. 5–11. DOI: 10.22138/2500-0918-2017-14-1-5-11 [In Russ.]
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Authors
Mikhail V. Gilev
Ural State Medical University
Cand. sci.(Med.), Associate Professor, Department of Operative Surgery and Topographic Anatomy
gilevmikhail@gmail.com
Elena A. Volokitina
Ural State Medical University
Dr.Sci. (Med.), Professor, Department of Traumatology and Orthopedics
usma@usma.ru
Yuri V. Antoniadi
Ural State Medical University
Cand. sci.(Med.), Associate Professor, Department of Traumatology and Orthopedics
usma@usma.ru
Vladimir D.Gvozdevich
Ural State Medical University
Dr.Sci. (Med.), Professor, Head of Chair of Operative Surgery and Topographic Anatomy
usma@usma.ru
Fedor N. Zverev
Ural State Medical University
The post-graduate student of Department of Traumatology and Orthopedics
usma@usma.ru
Dmitry N.Chernitcyn
MAU CGKB No.24 Yekaterinburg
Traumatologist, Head of the Trauma Department №1
usma@usma.ru
Repin str. 3, Yekaterinburg, Russian Federation, 620028 Ural State Medical University
usma@usma.ru
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