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Harvesting Autogenous Iliac Bone Grafts: A Review of Complications and Techniques

KURZ, LAWRENCE T., MD*; GARFIN, STEVEN R., MD*; BOOTH, ROBERT E. Jr., MD

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Autogenous bone grafts from the ilium are frequently harvested for purposes of bone union and/or stability. Although some donor site complications may be unavoidable, awareness of the anatomy and complications may aid in planning the approach and minimizing the risks. Documented donor site complications include pain, nerve and arterial injury, peritoneal perforation, sacroiliac joint instability, and herniation of abdominal contents through defects in the ilium. Strict observation of relevant anatomic considerations will help in avoiding these complications.

*From the Division of Orthopaedics and Rehabilitation, University of California, San Diego

†From the Section of Orthopaedic Surgery, Pennsylvania Hospital and Thomas Jefferson Medical Center, Philadelphia, Pennsylvania

© Lippincott-Raven Publishers.