Minimally invasive percutaneous technique for harvesting iliac crest graft using a tap and drill sleeve

dc.contributor.authorKumar, Rakesh
dc.contributor.authorMahajan, Avijit
dc.contributor.authorSangwan, Nitesh
dc.contributor.authorSood, Ayush
dc.contributor.authorRanjan, Rajni
dc.contributor.authorBatra, Ankit
dc.date.accessioned2024-09-09T18:57:50Z
dc.date.available2024-09-09T18:57:50Z
dc.date.issued2024-09
dc.descriptionWritten informed consent for publication was obtained from the patient. We complied with the policy of the journal on ethical consent.
dc.description.abstractIntroduction and aim. Orthopedic surgeries often require acquiring cancellous bone grafts, commonly sourced from the iliac crest. Traditional harvesting methods pose risks of donor site morbidity, prompting interest in minimally invasive techniques. This study introduces and evaluates the efficacy and safety of a percutaneous technique using a tap and drill sleeve for iliac crest bone graft harvesting. This study aims to assess outcomes and complications associated with a minimally invasive percutaneous technique for iliac crest bone graft harvesting through a retrospective analysis of twenty patients undergoing upper limb reconstructive surgery. Material and methods. A retrospective analysis was conducted on twenty patients who underwent upper limb reconstructive surgery between January and March 2023. The technique involved making a bone deep stab incision, precisely positioning a drill and tap sleeve, utilizing controlled tapping techniques, and extracting the graft. Post-operative assessments included evaluating pain levels, ambulation, and patient satisfaction. Results. The minimally invasive percutaneous technique demonstrated favorable outcomes, with reduced donor site morbidity observed. Within 24 hours post-operatively, 70% of patients reported low visual analogue scale scores, and 80% regained normal walking ability. No instances of post-operative paresthesia were reported. Conclusion. The examined minimally invasive percutaneous technique for iliac crest bone graft harvesting showed reliability and safety, particularly in low resource settings. Utilizing basic orthopedic tools such as tap and drill sleeves offers accessibility and affordability. This approach could effectively mitigate donor site morbidity in orthopedic reconstructive treatments.eng
dc.identifier.citationEuropean Journal of Clinical and Experimental Medicine T. 22, z. 3 (2024), s. 629–632
dc.identifier.doi10.15584/ejcem.2024.3.22
dc.identifier.eissn2544-1361
dc.identifier.urihttps://repozytorium.ur.edu.pl/handle/item/10861
dc.language.isoeng
dc.publisherPublishing Office of the University of Rzeszow
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectbone grafting
dc.subjectdonor site morbidity
dc.subjectiliac crest
dc.subjectminimally invasive technique
dc.subjectpercutaneous
dc.subjecttap and drill sleeve
dc.titleMinimally invasive percutaneous technique for harvesting iliac crest graft using a tap and drill sleeve
dc.typearticle

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