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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.
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 ...
Bone grafts may be autologous (bone harvested from the patient's own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts are expected to ...
Bone grafts repair damaged bones or help heal fractures. Autograft tissues are commonly obtained from the posterior iliac crest due to their high osteogenic potential and ability to supply both cancellous and cortical bones. [21]
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.
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.
The anterior gluteal line is the middle curved gluteal line on the hip bone. It is the longest of the three gluteal lines, begins at the iliac crest, about 4 cm. behind its anterior extremity, and, taking a curved direction downward and backward, ends at the upper part of the greater sciatic notch.