|Iliac Crest Graft Harvest|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Treat a fracture that is not healing
- Reconstruct a shattered bone
- Fill gaps in bone caused by cysts or tumors
- Fuse bones on either side of a joint
- Stimulate bone growth to help anchor an artificial joint or other implant
- Blood clots
- Nerve damage
- Rejection of a graft from another person
- Fat particles dislodge from the bone marrow and travel to the lung (this is rare)
- Anesthesia reaction
- Long-term medical conditions
- Advanced age
What to Expect
Prior to Procedure
- Physical exam
- X-rays of the bone involved
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- Review with your doctor any herbs or supplements that you take. You may be asked to stop taking some.
- Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
- Arrange for help at home after returning from the hospital.
- General anesthesia —You will be asleep.
- Local anesthesia—The area will be numbed.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Follow your doctor’s instructions for changing the dressing and showering.
- Do not smoke. Smoking can delay bone healing.
- Some grafts can fail. You doctor will track progress with x-rays.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Cough, shortness of breath, or chest pain
- Numbness or tingling at affected site
American Academy of Orthopedic Surgeons http://www.aaos.org/
The Cleveland Clinic http://www.clevelandclinic.org/
University of Maryland Spine Center http://www.umm.edu/
Canadian Orthopaedic Association http://www.coa-aco.org/
Canadian Orthopaedic Foundation http://www.canorth.org/
Bone grafting. The Cleveland Clinic website. Available at http://my.clevelandclinic.org/orthopaedics-rheumatology/treatments-procedures/bone-grafting.aspx. Accessed September 8, 2005.
Canale ST. Campbell's Operative Orthopaedics. 10th ed. St. Louis, MO: Mosby, Inc.; 2003.
A patient's guide to understanding bone graft. University of Maryland Spine Center website. Available at: http://www.umm.edu/spinecenter/education/understanding%5Fbone%5Fgraft.html. Accessed September 8, 2005.
- Reviewer: John C. Keel, MD
- Review Date: 12/2011 -
- Update Date: 12/21/2011 -