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This one is about: Bone Graft Donor Sites

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BONE GRAFT DONOR SITES: Hip, rib and skull from your body, or take cells from a cadaver

by Joanne Green

The three potential autogenous sites for bone graft are the hip, the rib and the skull. All three areas produce the kind of cancellous bone that is needed for the graft. However, there are pro's and con's to each site. Most bone grafts are taken from the hip, as most of the time it is considered to have more pro's than cons, and a better ratio of each than the other sites. (The biggest pro is that it has more of the kind of bone they need, and it is very hardy from the hip.) The skull provides the least, and requires repositioning, but it is the closest to the graft site. The rib provides a small amount, leaves a scar that is not as easy to hide later, and weakens the rib from which it was taken. Stuff like that.

As far as Cadaver donors, I have known of one child who had a cadaver donor and his surgery was a success. The family was happy with that option. The pro's are that it is less intrusive to the patient, less to heal from and no extra scar. The con's are a very minimal risk of disease, risk of infection, and a greater risk of rejection.

As with everything, there are pro's and con's. People will tend to swear by whatever they chose to do. Myself, I found that a traditional graft from the hip bone was no big deal. The scar is minimal and will always be hidden from the public under his underwear (even speedos would hide this tiny scar!) and only a few weeks later he was so active you could hardly tell he'd even had surgery - so the pain was not the horror I had imagined.


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