Harvesting iliac bone graft: Decreasing the morbidity

Objective: This is a review of modifications made to the classic technique for harvesting bone graft from the iliac crest. Prior techniques for harves ting iliac bone often resulted in significant postoperative pain, disabilit y, and a cosmetically unacceptable scar and contour deformity. Design: A retrospective review of patients who underwent bone graft harvest over a 7-year period was done, Interventions: The modifications described use a skin incision medial to th e anterior superior iliac crest. The medial aspect of the iliac crest is el evated along the midsagital axis of the crest, The medial cap is reflected outward, exposing cancellous bone, Results: A review of 51 patients demonstrated only two minor self-limiting complications. Conclusions: This procedure provides an abundant supply of both cortical an d cancellous bone, an aesthetically acceptable scar, and decreased patient discomfort.