Comparison of donor-site morbidity and functional outcomes between lateral iliac crest–preserving iliac bone harvesting and conventional iliac bone harvesting: a retrospective case–control study

Description

Minhua Hu and eight colleagues compared two ways of harvesting bone from the iliac crest, the pelvis rim that supplies most graft bone, measuring harm at the donor site. Their newer approach preserves the crest's outer wall while taking the graft beneath it. One hundred one patients split almost evenly between the preserving technique and the conventional harvest, with blood loss, complications, pain scores over the first week, and daily function all recorded.

The preserving group bled less during surgery. Its complications ran at under half the usual rate, ten percent against about a quarter. Fluid collections, infection, and lingering pain made up their list. Pain scores and satisfaction with walking, stairs, and hip function matched between groups. The authors present crest preservation as a way to cut donor-site harm without costing patients function.

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Source: https://europepmc.org/article/MED/PMC13393734