Comparison of curettage vs. trephination technique for harvesting anterior iliac crest bone graft: A cadaveric study.

IF 1.8 4区医学 Q2 ORTHOPEDICS

Chinese Journal of Traumatology Pub Date : 2023-11-23 DOI:10.1016/j.cjtee.2023.10.007

Albert Cakar, Omer Faruk Egerci, Fırat Dogruoz, Ersin Tasatan, Serra Ozturk, Muzaffer Sindel, Ozkan Kose

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引用次数: 0

Abstract

Purpose: The purpose of this cadaveric study was to compare the volume and weight of bone graft harvested using the curettage vs. the trephination technique from the anterior iliac crest.

Methods: Embalmed cadavers were studied in this experimental research. The right hemipelvis of each cadaver was used for the trephine bone harvesting technique, whereas the left hemipelvis was used for the conventional curettage technique. The weight and the volume of the harvested bone were measured and statistically compared between the 2 sides. The Wilcoxon Signed-Rank test was employed to compare the graft volume and weight obtained from the right and left sides of the hemipelvis.

Results: Ten embalmed adult cadavers were used in this study. All subjects were Caucasian males with a mean age of 59.8 years (range 44 - 73 years) at the time of death. A total of 81 cylindrical bone grafts were harvested from the right iliac crest. In 9 out of 81 (11.1 %), the cortex of the ilium was penetrated by the chisel. The mean weight of the bone graft harvested with the trephine technique (26.97 ± 2.32) g was heavier than the curettage technique (23.74 ± 2.09) g (p = 0.007). Similarly, the volume of the bone graft was higher in the trephine technique (8.40 ± 0.84) cm³ compared to the curettage technique (6.60 ± 1.26) cm³ (p = 0.011). The trephination technique lasted a mean of (12.76 ± 1.87) min (range 10.30-16.10 min), while the curettage technique lasted a mean of (14.53 ± 0.89) min (range 13.50-16.00 min) (p = 0.028).

Conclusion: Harvesting anterior iliac crest bone graft with the trephine technique provides a higher bone volume and weight than the conventional curettage technique. The trephine technique might be advocated over the curettage technique, especially when a large amount of autologous bone graft is required. However, a meticulous harvesting technique should be followed to prevent complications, particularly the three-dimensional anatomy should be kept in mind, and the depth of trephination should be well-controlled.

Clinical trial registration: Institutional Review Board registration: 2022/499.

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髂前嵴骨移植术中刮除术与截骨术的比较：尸体研究。

目的：这项尸体研究的目的是比较从髂前嵴用刮除法和截骨法获得的骨移植的体积和重量：方法：在这项实验研究中对尸体进行了研究。每个尸体的右半髋用于取骨技术，而左半髋用于传统的刮除技术。对两侧骨骼的重量和体积进行测量和统计比较。采用 Wilcoxon Signed-Rank 检验比较左右半髋骨的移植物体积和重量：本研究使用了十具防腐处理过的成人尸体。所有受试者均为白种男性，死亡时平均年龄为 59.8 岁（44 - 73 岁）。共从右侧髂嵴采集了 81 块圆柱形骨移植物。81 例中有 9 例（11.1%）的髂骨皮质被凿子穿透。用探针技术采集的骨移植物的平均重量（26.97 ± 2.32）克比刮除技术（23.74 ± 2.09）克重（P = 0.007）。同样，穿刺技术的植骨体积（8.40 ± 0.84）立方厘米高于刮治技术（6.60 ± 1.26）立方厘米（p = 0.011）。穿刺技术平均持续时间为（12.76 ± 1.87）分钟（10.30-16.10 分钟不等），而刮宫技术平均持续时间为（14.53 ± 0.89）分钟（13.50-16.00 分钟不等）（P = 0.028）：结论：与传统的刮治技术相比，用穿刺针技术采集髂骨前嵴植骨可获得更高的骨量和骨重。与刮除法相比，我们更倾向于使用钻孔取骨法，尤其是在需要大量自体骨移植的情况下。不过，为防止并发症，应遵循细致的取骨技术，尤其应注意三维解剖，并控制好穿刺深度：机构审查委员会注册号：2022/499。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chinese Journal of Traumatology ORTHOPEDICS-

CiteScore

3.80

自引率

4.80%

发文量

1707

审稿时长

28 weeks

期刊介绍： Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.