Donor-site morbidity after harvesting rib and iliac bone

TitleDonor-site morbidity after harvesting rib and iliac bone
Publication TypeJournal Article
Year of Publication1984
AuthorsLaurie SW, Kaban LB, Mulliken JB, Murray JE
JournalPlast Reconstr Surg
Pagination933 - 8
Date PublishedJun
ISSN0032-1052 (Print) 0007-1226 (Linking)
Accession Number6374708
Keywords*Bone Transplantation, Adolescent, Adult, Child, Child, Preschool, Drainage, Female, Gait, Humans, Ilium / *surgery, Male, Pain / etiology, Postoperative Complications, Prospective Studies, Retrospective Studies, Ribs / *surgery, Surgery, Plastic / methods, Thorax, Time Factors, Wound Healing

Morbidity following 104 bone graft harvesting operations (60 iliac, 44 rib) in 72 patients is documented. Early morbidity of iliac donor sites was found, as expected, to be far greater than that of rib donor sites. However, long-term follow-up reveals that while hip symptoms largely resolve, a significant number of chest-wall sites cause persistent, unpleasant pain. Technical ways of minimizing problems are also discussed. When procuring an iliac graft, a lateral skin incision and a medial bony approach are used if possible. If full-thickness ilium is required, the crest should be left intact or raised and replaced as a trapdoor .

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