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Anterior Iliac Crest Bone Graft (AICBG)
Anterior Iliac Crest Bone Graft (AICBG)
Open Dropdown
Preoperative Considerations
Consent:
- Pain at donor site — expected postoperative hip soreness.
- Gait discomfort — temporary difficulty walking due to donor site sensitivity.
- Swelling or bruising — localized to the iliac crest region
- Infection — risk of donor site infection requiring treatment.
- Bleeding or hematoma — may require drainage in uncommon cases.
- Meralgia paresthetica — numbness, tingling, or burning of the anterolateral thigh from lateral femoral cutaneous nerve irritation or injury.
- Persistent sensory changes — altered sensation around the incision, which may be temporary or (rarely) prolonged.
- Iliac crest fracture (rare) — risk increases with larger graft harvests.
- Scar formation — permanent incision scar, with rare hypertrophy.
- Graft failure or resorption — inadequate integration of the harvested bone.
Anesthesia/Positioning:
- Supine
- Hip bump (can used rolled towel)
Other:
- Reinforce need for early postoperative ambulation
Armamentarium:
Technique
Postoperative Considerations
Immediate:
- Early ambulation
- PT/OT consult
Follow Up:
Operative Note
Coding
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Case Contributor:
Syed Asghar, DMD MDAll content is HIPAA-compliant and published pursuant to patient authorization.
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