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. 1998 Sep;102(4):1163-6.
doi: 10.1097/00006534-199809040-00038.

Neurotmesis of the lateral femoral cutaneous nerve when coring for iliac crest bone grafts

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Neurotmesis of the lateral femoral cutaneous nerve when coring for iliac crest bone grafts

D G van den Broecke et al. Plast Reconstr Surg. 1998 Sep.

Abstract

Two patients are presented suffering from meralgia paresthetica, owing to neurotmesis of the lateral femoral cutaneous nerve following bone-graft harvesting from the iliac crest with a cylindrical osteotome. Despite this donor-site complication, the advantages of a coring technique as compared with traditional bone-graft harvesting techniques are numerous: better cosmetic results, less pain, no need for general anesthesia, shorter hospitalization, and a minimum of donor-site morbidity. Also, this technique has proven itself easy and effective. To minimize donor-site morbidity, some clinical recommendations to avoid neurotmesis are given with regard to the anatomy and anatomic variations of the lateral femoral cutaneous nerve.

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