{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:50:23Z","timestamp":1789411823567,"version":"build-2803163510"},"reference-count":46,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate postoperative pain, hospital length of stay (LOS), and associated costs of multiple perioperative analgesic strategies following alveolar bone grafting (ABG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective comparative cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Tertiary care pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Participants:<\/jats:title>\n                    <jats:p>Iliac crest bone graft (ICBG) harvest techniques: \u201cOpen Harvest\u201d (n = 22), \u201cTrephine Only\u201d (n = 14), or \u201cTrephine + Pain Pump\u201d (n = 25).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>The \u201cOpen Harvest\u201d group underwent open ICBG harvest with 3-walled osteotomies. For the other 2 treatment groups, a trephine drill was used to harvest iliac crest bone with a ropivacaine infusion pump into the hip donor site (\u201cTrephine + Pain Pump\u201d) or without (\u201cTrephine Only\u201d). Patients who underwent ABG with only cadaveric allograft were analyzed as a comparison group (\u201cNo Harvest\u201d).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes Measures:<\/jats:title>\n                    <jats:p>Outcomes were planned prior to data collection: maximum pain score, hospital LOS, and associated health care costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Maximum pain scores were significantly higher in the \u201cOpen Harvest\u201d group (7.3\/10) compared to \u201cTrephine + Pain Pump\u201d (1.8\/10;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001) and \u201cNo Harvest\u201d groups (2.8\/10;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .01). Hospital LOS decreased from 2.4 days (\u201cOpen Harvest\u201d) to 0.5 days (Trephine + Pain Pump\u201d;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Twelve (48%) patients from \u201cTrephine + Pain Pump\u201d were discharged on the day of surgery. The \u201cTrephine + Pain Pump\u201d saved an estimated $5336 for a unilateral ABG and $7265 for a bilateral ABG compared to \u201cOpen Harvest.\u201d\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The combined use of the trephine ICBG technique and ropivacaine infusion catheter effectively decreased pain, shortened hospital stay, and improved cost saving compared to patients who have undergone other methods of ICBG.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1055665618791943","type":"journal-article","created":{"date-parts":[[2018,8,3]],"date-time":"2018-08-03T01:32:42Z","timestamp":1533259962000},"page":"479-486","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["A Multimodal Preemptive Analgesic Protocol for Alveolar Bone Graft Surgery: Decreased Pain, Hospital Stay, and Health Care Costs"],"prefix":"10.1177","volume":"56","author":[{"given":"Michael R.","family":"Bykowski","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wesley","family":"Sivak","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catharine","family":"Garland","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklyn P.","family":"Cladis","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Children\u2019s Hospital of Pittsburgh, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse 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