DOI: 10.1177/10556656261474643 ISSN: 1055-6656
Repeat Bone Graft Harvest From Single Iliac Crest Donor Site in Cleft Patients: A Review of Surgical Technique and Outcomes
Jing Qin Tay, David Schramm, Jennifer M. Brown, Matthew Langford, Guy Thorburn, Marc C. SwanBackground
Cleft patients may require multiple bone grafting procedures that traditionally necessitate alternating donor sites with cumulative morbidity.
Solution
Re-harvesting from the same iliac crest donor site after an adequate regeneration interval.
What we did that is new
We demonstrate a cortical lid and periosteum preservation technique with 14 successful re-harvesting procedures, showing a 100% successful graft integration rate with Kindelan Score 1 or 2 at 6-month follow-up with no long-term donor or recipient site complications.