Bone Harvesting

Minimizes soft tissue dissection and cortical disruption effectively.

Trephine ICBG

Efficiently harvests bone with minimal tissue damage involved.

Soft Tissue

Reduces dissection and preserves surrounding anatomical structures effectively.

Cortical Disruption

Minimizes disruption to enhance recovery and surgical outcomes.

Periosteal Elevation

Limits elevation to protect bone integrity during harvesting.

TREPHINATED CURETTAGE TECHNIQUE

The purpose of this trephinated curettage technique aims to optimize and to standardize harvest techniques, ample bone graft volume, postoperative pain, functional limitations, and complications of ICBG. In this way, ICBG can be harvested as corticocancellous or cancellous bone graft, depending on the structural integrity desired. The most common complications associated with ICBG harvest are donor site pain and cosmetic deformity due to the iliac crest defect. Major complications include deep infection, fracture, and neurovascular injury. Surgeons must be familiar with relevant anatomy, harvest techniques, bone graft volume, and potential complications associated with iliac crest bone graft to decrease morbidity. Considering the clinical advantages based on the previous literature, the trephination curettage technique can be highly recommended for autograft ICBG harvesting. On the other hand, meticulous handling should be followed to minimize the complications, particularly the penetration of the ilium. Since the trephination technique is performed in a blinded fashion, the three-dimensional structure of the ilium should be kept in mind.