Fracture of the anterior iliac crest following monocortical bone graft harvest in bisphosphonate-related mandibular pathological fracture: a case report.
The anterior iliac crest is the most common donor site for autologous nonvascularized bone because of the great amount of bone available and easy access. Documented donor-site complications include arterial, nerve, or urethral injury; herniation; chronic donor-site pain; sacroiliac joint instability; pelvic fractures; gait disturbances; hematoma; infection; peritoneal perforation; cosmetic defects; and hip subluxation. We present the case of a pathologic fracture of the right anterior iliac crest during the immediate postoperative period in a patient with a bisphosphonate-related osteochemonecrosis with pathological fracture of mandibular body. The patient was managed with nonoperative treatment.
Arribas-Garcia
Ignacio
I
Department of Maxillofacial Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain. ij_arribas@yahoo.es
Alcalá-Galiano
Andrea
A
García
Antonio Fernández
AF
Moreno
Juan Jose Montalvo
JJ
D050071:Bone Density Conservation Agents / Q000009:adverse effects; D016025:Bone Transplantation / Q000009:adverse effects*; D004164:Diphosphonates / Q000009:adverse effects; D005260:Female; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000293:injuries / Q000637:transplantation*; D008337:Mandibular Fractures / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D010020:Osteonecrosis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D011859:Radiography; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*; D016896:Treatment Outcome
D050071:Bone Density Conservation Agents; D004164:Diphosphonates