Donor Site Complications Following Anterior Iliac Crest Bone Graft for Treatment of Distal Radius Fractures

Introduction: In distal radius fractures with metaphyseal comminution, bone grafting or the use of a bone substitute may be necessary. Harvesting autologous iliac crest bone graft for other orthopedic procedures has complications. The aim of this study was to evaluate the complication rate after harvesting a small amount of bone as used for the treatment of radius fractures.

Patients And Methods: Patients treated in a single level I trauma center with surgical treatment for distal radius fracture with iliac crest bone graft between January 2008 and December 2012 were included in this retrospective study. Patients' records were evaluated and clinical evaluation was performed at follow-up.

Results: 42 patients (20 females, 22 males, mean age 56.3 ± 15.9 years) were included in this study. Follow-up was mean 6.3 ± 1.2 years. Only minor complications such as hematoma could be identified; in one patient, revision surgery for bleeding was performed. No nerve injuries, long-term pain, fractures, infections or wound healing disturbances could be seen. The use of a drain of hemostyptics, the type of wound closure or pattern of harvested bone did not influence complication rate.

Conclusion: This study shows that harvesting a small amount of iliac crest bone graft for the treatment of distal radius fractures is a safe procedure with a very low complication rate.