Fogorvosi szemle, 2008 (101. évfolyam, 1-6. szám)
2008-04-01 / 2. szám
63 FOGORVOSI SZEMLE ■ 101. évf. 2. sz. 2008. 3. Alt V, Meeder PJ, Seligson D, Schad A, Atienza C Jr.: The proximal tibia metaphysis: a reliable donor site for bone grafting? Clin Orthop Retat Res 2003; 4: 315-21. 4. Besly W, Ward Booth P: Technique for harvesting tibial cancellous bone modified for use in children. Br J Oral Maxillofac Surg 1999; 37: 129-133. 5. Bloomquist DS, Feldman GR: The posterior ilium as a donor site for maxillo-facial bone grafting. J Maxillofac Surg 1980; 8: 60-64. 6. Browaeys H, Bouvry P, De Bruyn H: A literature review on biomaterials in sinus augmentation procedures. Clin Implant Dent Relat Res 2007; 9: 166-177. 7. Catone GA, Reimer BL, McNeir D, Ray R: Tibial autogenous cancellous bone as an alternative donor site in maxillofacial surgery: a preliminary report. J Oral Maxillofac Surg 1992; 50: 1258-1263. 8. Cricchio G, Lundgren S: Donor site morbidity in two different approaches to anterior iliac crest bone harvesting. Clin Implant Dent Relat Res 2003; 5: 161-169. 9. van Damme PA, Merkx MA: A modification of the tibial bone-graftharvesting technique. Int J Ora! Maxillofac Surg 1996; 25: 346-348. 10. Herford AS, King BJ, Audia F, Becktor J: Medial approach for tibial bone graft: anatomic study and clinical technique. J Oral Maxillofac Surg 2003; 61: 358-363. 11. Hernández-Alfaro F, Martí C, Biosca MJ, Gimeno J: Minimally invasive tibial bone harvesting under intravenous sedation. J Oral Maxillofac Surg 2005; 63: 464-470. 12. Hughes CW, Revington PJ: The proximal tibia donor site in cleft alveolar bone grafting: experience of 75 consecutive cases. J Craniomaxillofac Surg 2002; 30: 12-16. 13. Ilankovan V, Stronczek M, Telfer M, Peterson LJ, Stassen LF, Ward-Booth P: A prospective study of trephined bone grafts of the tibial shaft and iliac crest. BrJ Oral Maxillofac Surg 1998; 36: 434- 439. 14. Jackson IT, Helden G, Marx R: Skull bone grafts in maxillofacial and craniofacial surgery. J Oral Maxillofac Surg 1986; 44: 949-955. 15. Kalk WW, Raghoebar GM, Jansma J, Boering G: Morbidity from iliac crest bone harvesting. J Oral Maxillofac Surg 1996; 54: 1424- 1429. 16. Marchena JM, Block MS, Stover JD: Tibial bone harvesting under intravenous sedation: Morbidity and patient experiences. J Oral Maxillofac Surg 2002; 60: 1151 -1154. 17. Mazock JB, Schow SR, Triplett RG: Posterior iliac crest bone harvest: review of technique, complications, and use of an epidural catheter for postoperative pain control. J Oral Maxillofac Surg 2003; 61: 1497-1503. 18. Mendicino RW, Leonheart E, Shromoff P: Techniques for harvesting autogenous bone graft of the lower extremity. J Foot Ankle Surg 1996; 35:428-435. 19. O'Keeffe RM Jr, Riemer BL, Butterfield SL: Harvesting of autogenous cancellous bone graft from the proximal tibial metaphysis. A review of 230 cases. J Orthop Trauma 1991 ; 5: 469-474. 20. Sindet-Pedersen S, Enemark H: Mandibular bone grafts for reconstruction of alveolar clefts. J Oral Maxillofac Surg 1988; 46: 533-537. 21. Velich N, Barabás J, Szabó Gy: A remodellingről két eset kapcsán. Fogorv Szle 2003; 96: 111-114. 22. Velich N, Németh Z, Tóth C, Szabó G: Long-term results with different bone substitutes used for sinus floor elevation. J Craniofac Surg 2004; 15: 38-41. Dr. Bogdán S, Dr. Németh Zs, Dr. Huszár T, Dr. Ujpál M, Dr. Barabás J, Dr. Divinyi T: The proximal tibia. A possible donor site in preprosthetic surgery With the development of oral implantology the augmentation of the alveolar process and the maxillary sinus has become a more and more frequent procedure. Even though a vast array of bone replacement materials is available commercially, they all just have an osteoconductive effect. By now it has become clear that the ‘gold standard’ of bone grafts is autologous bone that is both osteoconductive and osteoinductive. Autologous bone is mostly harvested from intraoral sources. If a larger quantity of spongious bone is needed, it is from extraoral sites, mainly from the iliac crest. In some countries the use of the proximal epiphysis of the tibia for bone harvesting is more widespread. In our Department a sinus lift was performed with spongious bone harvested from the tibia in 14 patients within 9 months. A mean 20 cc of bone can be harvested from one site, which is sufficient for the augmentation of both sinus floors in all cases. The patients tolerated surgery well, healing was without complications. Patients were mobilised immediately after surgery. Patients tolerated the postoperative period significantly better than after bone harvesting from the iliac crest. Key words: sinus lift, bone harvesting, autologous tibia bone graft
