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A Phemister graft is a type of bone graft which uses bone tissue harvested from the patient to treat slow-healing, or delayed union bone fractures. [1] Thus, it is a form of autotransplantation. Typically, the tissue used in the graft is cancellous bone harvested from the patient's Iliac crest and laid in strips across the fracture site.
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly. Some small or acute fractures can be cured without bone grafting, but the risk is greater for large fractures like compound fractures.
A fracture of the left iliac wing. The iliac crest has a large amount of red bone marrow, and thus it is the site of bone marrow harvests (from both sides) to collect the stem cells used in bone marrow transplantation. The iliac crest is also considered the best donor site for bone grafting when a large quantity of bone is needed. For example ...
Evidence that the bone graft is forming will be seen on x-ray at about 8 weeks. Movement of teeth into the graft can begin at 3 months once bone graft consolidation is seen on xray. [4] Recovery from the bone harvest will vary depending on the site (if harvested) with the anterior iliac crest being sore for 2–3 weeks. [citation needed]
The bone may be autologous, typically harvested from the iliac crest of the pelvis, or banked bone/allograft. [2] Vascular grafting – the use of transplanted or prosthetic blood vessels in surgical procedures. Ligament grafting repair – as with anterior cruciate ligament reconstruction or ulnar collateral ligament reconstruction.
Iliocostal friction syndrome, also known as costoiliac impingement syndrome, is a condition in which the costal margin comes in contact with the iliac crest.The condition presents as low back pain which may radiate to other surrounding areas as a result of irritated nerve, tendon, and muscle structures.
It is thinner at the center than at the extremities, and ends in the anterior and posterior superior iliac spines. The surface of the crest is broad, and divided into external and internal lips, and an intermediate line. About 5 cm behind the anterior superior iliac spine there is a prominent tubercle on the outer lip.
Autologous bone graft is the "gold standard" treatment and possesses osteogenic, osteoinductive, and osteoconductive properties, although only a limited sample can be taken and there is a high risk of side effects. [11] Bone graft substitutes. Inorganic bone substitutes may be used to complement or replace autologous bone grafting.