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Complications of autogenous bone harvesting from the anterior iliac crest for maxillofacial surgeries



Abstract

This study aimed to investigate the extent of complications and problems occurring in patients following autogenous bone harvesting from the anterior iliac crest for maxillofacial surgeries. The evaluation was conducted on 27 patients who had undergone autogenous bone graft surgery from the anterior iliac crest at two private clinics during the years 2010-2015. To assess postoperative complications, they were contacted and invited to participate in a follow-up session. Data were extracted from patient records and analyzed using SPSS software version 20 after collection. The average hospital stay for patients was reported as 3.5 days, with immediate post-operative limping present uniformly in all patients. The time it took patients to walk normally ranged from 14 to 75 days, with an average of 25 days. The time it took patients to return to normal activities (including sports) was assessed between 21 to 90 days, with an average of 45 days. The length of the surgical site scar ranged from 25 to 60 millimeters, with an average of 27 millimeters. The width of the scar was calculated between 1 to 3 millimeters, with an average of 1.5 millimeters. Patient satisfaction with the wound site was reported on a 1 to 10 VAS scale, with an average of 7. None of the patients experienced permanent gait impairment. Most post-operative complications were short-term, and in the long term, none of the patients had any noticeable problems. None of the patients suffered permanent deficits requiring reoperation or physiotherapy.



Keywords: Autogenous graft, Anterior iliac crest, Complications



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