|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
- Anesthesia reaction
- Rarely, fat particles dislodge from the bone marrow and travel to the lung
- Chronic disease such as diabetes or obesity
What to Expect
Prior to Procedure
- Physical exam
- X-rays of the bone involved
Talk to your doctor about your medications. You may be asked to stop taking some medicationss up to one week before the procedure, like:
- Aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs)
- Blood thinners
- 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
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Do not smoke. Smoking can delay bone healing.
- Some grafts can fail. You doctor will track progress with x-rays.
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 can't control with the medications you were given
- Pain that you can't control with the medications 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.orthoinfo.org
National Institute of Arthritis and Musculoskeletal and Skin Diseases http://www.niams.nih.gov
Canadian Orthopaedic Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Bone and tissue transplantation. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00115. Updated January 2009. Accessed July 30, 2013.
Bone grafting. The Cleveland Clinic website. Available at http://my.clevelandclinic.org/orthopaedics-rheumatology/treatments-procedures/bone-grafting.aspx. Accessed July 30, 2013.
Bone grafts in spine surgery. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00600. Updated July 2010. Accessed July 30, 2013.
Treatments for bone disorders. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/bone%5Fdisorders/treatments%5Ffor%5Fbone%5Fdisorders%5F85,P00130. Accessed July 30, 2013.
- Reviewer: John C. Keel, MD
- Review Date: 06/2013
- Update Date: 01/27/2014