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However, in all of these cases of neural dysfunction, the recipient site for the grafts was in the mandible, so that, it was not possible to evaluate whether the nerve disturbances were caused by the harvesting of the bone block, by the augmentation procedure due to manipulation of the mental nerve or even by the inferior alveolar nerve block.
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Our research team [ 15] retrospectively reviewed 197 patients (226 hips) treated with iliac bone block transfer perfused by the ascending branch of the lateral femoral circumflex artery; successful results were achieved in 96% of the patients with Ficat and Arlet stage II osteonecrosis, 90% with stage III osteonecrosis, but 57%, which is a low success rate, with stage IV osteonecrosis.
The insertion of the bone block was controlled by pulling the graft in the distal direction at the 10 20° position of the knee.
If a bone block is needed, this could be done by harvesting a bone block from the tibia, keeping the original attachment of the hamstring tendon, and doing the identical operation with the additional bone fixation.
We had planned to do a second alternative of this operation by introducing a bone block with the tendon and fixate it to the lower anterior part of glenoid with sutures or screws and then proceed with the sling.
Femoral press-fit fixation was achieved by tapping the bone block into the femoral canal.
12, 13 In a study by Marquezan et al, a positive correlation was established between the BMD of total bone block measured by dual-energy X-ray absorptiometry and the one measured by CBCT.
A rectangular bone graft is interposed in the osteotomy site, but bigger size and larger vertex than the original bone block described by Salter.
In our study all free bone blocks showed bony ingrowth in the bone tunnel without a sclerotic margin between the bone block and the bone tunnel and homogeneous bone morphology between bone block and bone tunnel.
The bone block is fixed to the clavicle by means of a screw with a spike washer.
Do edentulous patients restored by allograft bone blocks in the atrophic maxillae have acceptable clinical outcomes when compared to other types of block grafts by means of survival rate and histologic examination?
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