Harvesting Iliac Crest Bone Graft: A Narrative Review and Cost Analysis
DOI:
https://doi.org/10.55576/job.v5i1.61Keywords:
bone graft, bone graft substitutes, iliac crest bone graft, nonunion, malunion, arthrodesis, cost, cost utilizationAbstract
Utilization of various bone graft materials has increased in orthopedic surgeries, but autologous bone graft remains the gold standard due to its osteoinductive, osteoconductive, and osteogenic properties, along with its nonimmunogenic nature and histocompatibility. The iliac crest bone graft (ICBG) is a commonly used autologous bone graft site, offering ample bone volume and accessibility. However, selecting the optimal donor site requires consideration of factors such as bone defect size, graft properties, ease of harvest, and patient morbidity. The anterior and posterior iliac crest approaches are commonly utilized, each with its advantages and associated complications. While the anterior approach offers convenience, the posterior approach provides a higher bone graft volume. Moreover, the type of graft harvested (cancellous or corticocancellous) influences its structural properties and immediate support. This review aims to summarize harvest techniques, graft volume, postoperative pain, functional limitations, complications, and cost associated with ICBG.
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