Injury to the lateral femoral cutaneous nerve during harvest of iliac bone graft, with reference to the size of the graft.
In patients who underwent autogenous iliac bone grafting we studied prospectively injury to the lateral femoral cutaneous nerve (LFCN) in relation to the size (length, depth, width) of the graft. We also examined the neurological deficit, by questioning them about numbness and/or pain in the lateral thigh. The risk of injury was significantly higher in those in whom the depth of the graft was more than 30 mm. With regard to the length of the graft the incidence of nerve injury was 20% when the graft was 45 mm long or more, 16% when it was between 30 mm and 45 mm long, and 8% when it was less than 30 mm long. We should inform patients of the possibility of such injury, and take size into consideration when harvesting grafts from the ilium.
Murata
Yasuaki
Y
Department of Orthopaedic Surgery, School of Medicine, Chiba University, Chiba City, Japan.
Takahashi
Kazuhisa
K
Yamagata
Masatsune
M
Sameda
Hiroaki
H
Moriya
Hideshige
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D001837:Body Weights and Measures; D016025:Bone Transplantation / Q000009:adverse effects*; D002648:Child; D005260:Female; D006801:Humans; D007085:Ilium / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D059348:Peripheral Nerve Injuries; D011446:Prospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects* / Q000379:methods*; D020196:Trauma, Nervous System / Q000209:etiology*