Abstract
Iliac bone grafting is frequently used in plastic surgery. Complications occur in approximately 10% of iliac bone harvesting cases; among these, iliac bone fractures rarely occur (4%). However, there are no reports of plastic surgery for iliac bone fractures after iliac bone harvesting in Japan. We herein report a case in which orbital floor fracture reduction was performed using an iliac bone graft. Although no abnormalities were observed in the intraoperative findings during iliac bone harvesting, postoperative iliac bone fracture was observed, requiring conservative treatment. We recommend that the iliac bone be harvested at least 20–30 mm posterior to the anterior superior iliac spine with the long axis along the iliac crest to reduce the risk of postoperative iliac bone fracture in iliac bone harvesting. The possibility that a low bone mineral density increases the likelihood of fracture after iliac bone harvesting should also be considered.
Computed tomography image of the iliac bone after surgery.
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