title: Neurotmesis of the lateral femoral cutaneous nerve when coring for iliac crest bone grafts.
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.
authors.affiliation: Department of Plastic, Reconstructive, and Hand Surgery at the University Hospital of Utrecht, The Netherlands.
authors.forename: D G
authors.initials: DG
authors.lastname: van den Broecke
authors.forename: A H
authors.initials: AH
authors.lastname: Schuurman
authors.forename: E D
authors.initials: ED
authors.lastname: Borg
authors.forename: M
authors.initials: M
authors.lastname: Kon
mesh_terms: D000328:Adult; D001178:Arthroplasty; D016025:Bone Transplantation / Q000502:physiology*; D005260:Female; D005267:Femoral Nerve / Q000293:injuries*; D006801:Humans; D007085:Ilium / Q000294:innervation*; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012307:Risk Factors; D013848:Thigh / Q000294:innervation*