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Article
ILIAC CREST BONE GRAFT IN MAXILLOFACIAL BONY DEFECTS

Authors: Ayad A. Hasan اياد عبدالخالق حسن --- Ammar Y. Khudhir عمار ياس خضر
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 3 Pages: 216-224
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:The reconstruction of facial deformity has been of paramount clinical concern for many years and one of the most difficult and challenging tasks facing the maxillofacial surgeon. The ultimate goal in the treatment is the relief of suffering, restoration of function of jaw, restoration of speech, regain of the normal looking contour and improvement in the quality of life.Objective:To obtain more knowledge on autogenous on lay bone graft behavior in different facial defects and to evaluate the lateral and medial surgical approaches to the iliac crest.Methods:A prospective study was conducted during the period from January 2009 to January 2012 on 20 patients with facial defects, in the orbit, zygoma, maxilla and mandible. The causes of defects were trauma, odontogenic tumors and alveolar cleft. Types of bone graft used were either block cortico-cancellous or chips cancellous bone, the block was either monocortical or bicortical bone graft.Results:Complications associated with donor site harvesting procedure included pain 5% and gait disturbance 5%. Failure of bone graft was observed in 3 patients (15%) while the rest, 17 patients, (85%) ended with functional and esthetic successful graft. Causes of failure were due to sequestration (5%), inflammation due to osteomesh (5%) and soft tissue breakdown (5%).Conclusion:Iliac crest graft has evolved as a safe, well accepted procedure, with relatively low morbidity that can be used for a wide variety of maxillofacial procedures.Keywords:Iliac crest, bone graft, facial defects


Article
Non Union of Diaphysial Humeral Fractures

Authors: Mohammed Ali F. Al Bayati --- Naji Kareem Hasaan --- Lauy Assad Mahmood
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: supplement Pages: 716-720
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Humeral shaft fractures represent 3-5% 0f all fractures mostly heal by conservative methods ,frequently few fractures fail to unite , several fixation modalities have been used with types of bone graft .OBJECTIVE: To analyze the local and environmental factors of 44 patients having non union of diaphysial humeral fractures and the result of treatments by open reduction and fixation with plate and screws and autogenous bone graft application .METHODS: Retrospective and prospective study of forty four patients had non union of the daiphysis of the humerus, 34 males ,10 females, age ranged from 18-61, 29 had open injuries , 15 had closed injuries . All patients treated by rigid fixation with plate and screws and ample amount of autogenous bone graft. Follow up from 6-24 months .RESULTS: 40 patients had good results in clinical and radiological union of their humeri , in four patients the bone fail to unite ,graft resorbed with or without plate failure.CONCLUSION : Sever injuries with soft tissue damage is a major cause of nonunion and rigid fixation by plate and screws with autogenous bone graft is a good optional method of treatment when other modalities are not available ..

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