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

Autor: van den Broecke DG; Department of Plastic, Reconstructive, and Hand Surgery at the University Hospital of Utrecht, The Netherlands., Schuurman AH, Borg ED, Kon M
Jazyk: angličtina
Zdroj: Plastic and reconstructive surgery [Plast Reconstr Surg] 1998 Sep; Vol. 102 (4), pp. 1163-6.
DOI: 10.1097/00006534-199809040-00038
Abstrakt: 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.
Databáze: MEDLINE