[Technical note: iliac crest bone graft harvesting in children]

Area of Science:

• Orthopedic Surgery
• Pediatric Bone Grafting
• Surgical Anatomy

Context:

• Pediatric iliac crest bone harvesting presents unique anatomical challenges.
• The presence of thick cartilage necessitates modified surgical approaches.
• Protecting the lateral femoral cutaneous nerve is critical during the procedure.

Purpose:

• To describe a specialized technique for pediatric iliac crest bone harvesting.
• To highlight the anatomical considerations and critical steps for successful bone grafting in children.
• To emphasize the importance of preserving the lateral femoral cutaneous nerve.

Summary:

• The technique involves applying pressure to the iliac fossa to mobilize skin and abdominal muscles.
• A single incision allows for dissection, removal of cartilage, and retraction of iliac muscle.
• Cortical and spongy bone are harvested from the internal iliac crest, with cartilage being resutured.
• Careful attention is paid to preserving the lateral femoral cutaneous nerve throughout the procedure.

Impact:

• Provides a detailed surgical method for pediatric bone harvesting.
• Aims to improve surgical outcomes and minimize complications in pediatric patients.
• Contributes to the understanding of specialized orthopedic procedures in pediatric surgery.