A modified technique of harvesting tibial cancellous bone and its use for sinus grafting.
Autogenous bone is the gold standard graft for sinus augmentation. The harvest of autogenous bone grafts from intraoral sites does often not provide sufficient bone volume and quality. A modified technique of harvesting a tibial cancellous graft is presented. With a micro-bone saw, a bony lid is prepared at the medial condyle of the tibia. The lid stays attached to the tendinous pes anserinus. Following the harvest, the lid is repositioned accurately. This method offers some distinct advantages. A sufficient amount of biologically highly valuable cancellous bone may be harvested for sinus grafting and possibly other surgeries with bone augmentation. The procedure may be performed under local anaesthesia and does not require hospitalisation. Neither major complications nor serious postoperative morbidity were observed.
Jakse
N
N
Department of Oral Surgery, School of Dentistry, Karl-Franzens-University Graz, Auenbruggerplatz 12, A-8036 Graz, Austria. Norbert.Jakse@kfunigraz.ac.at
Seibert
F J
FJ
Lorenzoni
M
M
Eskici
A
A
Pertl
C
C
D000540:Alveolar Ridge Augmentation / Q000379:methods*; D000772:Anesthesia, Local; D001458:Bandages; D016025:Bone Transplantation; D006801:Humans; D008443:Maxillary Sinus / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation; D010027:Osteotomy / Q000295:instrumentation; D017847:Patellar Ligament / Q000033:anatomy & histology; D013484:Supination; D013977:Tibia / Q000033:anatomy & histology / Q000601:surgery; D014021:Tissue Preservation; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014182:Transplantation, Autologous