The open technique for obtaining cancellous iliac bone is often used for the repair of the cleft defects of the alveolus. However, recently a number of authors have stated that the morbidity and long-term cosmesis are unacceptable. The results of a long-term retrospective study of the donor sites in 47 patients who underwent the open technique are discussed. No major long term morbidity was found but a number of minor, troublesome symptoms were revealed in 36% including, itching, discomfort, hypertrophic scars and anaesthesia. The scar was considered unacceptable with a mean of 60 mm length and 4 mm wide. A minimally invasive technique is described that produces an adequate volume of milled bone, between 1.5 mls and 4 mls, (equivalent to 3–8 mls of unmilled bone). Discomfort was minimal postoperatively, and both gait and scar showed a highly favourable outcome. This unit is no longer employing the open technique for cancellous iliac bone removal.
European Journal of Plastic Surgery – Springer Journals
Published: Nov 1, 2005
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