Transiliac hernia: a case report with short review of literature

Authors

  • Nazmuddin Jetaji Department of Orthopaedics, Rajawadi Hospital, Mumbai, India
  • Zubair Sorathia Department of Orthopaedics, Rajawadi Hospital, Mumbai, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20160997

Keywords:

Iliac crest, Hernia, Bone graft, Transiliac

Abstract

The Iliac crest is considered gold standard among all types of bone graft available-natural or synthetic. There are many reported complications of bone graft harvestation but one of the rarely reported ones is hernia from the donor site. Not more than 15-20 cases have been reported in the last 10 years. We hereby report a case of hernia from the iliac crest used to harvest bone graft for a case of Femur shaft non-union and also review the relevant literature. The risk factors for this particular complication to occur are morbid obesity, female sex and old age. Bone graft substitutes should therefore be strongly considered in these patients. When harvested, the periosteum and soft tissue should be meticulously closed and repaired. CT scan is a fairly conclusive investigation for diagnosis.

References

Warner WC, Sawyer JR, Kelly DM. Scoliosis and Kyphosis. In Canale ST, Beaty J. Campbell's Operative Orthopaed. Philadelphia: Elsevier Mosby;2013:1721.

Arrington ED, Smith WJ. Complications of iliac crest bone graft harvesting. Clin Orthop Relat Res. 1996;(329):300-9.

Dimitriou R, Mataliotakis GI, Angoules AG, Kanakaris NK, Giannoudis PV. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury. 2011;42(2):S3-15.

Velchuru VR, Satish SG, Petri GJ, Sturzaker HG. Hernia through an iliac crest bone graft site. Bull Hosp Jt Dis. 2006;63(3-4):166-8.

Buchawald H. Surgical Management of Obesity. Philadelphia: Saunders Elsevier;2007.

Oldfield MD. Iliac hernia after bone grafting. Lancet. 1945;248:810-2.

Audela J, Bianchi A, Tibau R, Rodriguez-Cano O. Hernia through iliac crest defects. Int Orthop. 1995;19(6):367-9.

Danikas D, Theodorou SJ, Stratoulias C, Constantinopoulos G, Ginalis EM. Hernia through an iliac crest bone-graft donor. Plast Reconstr Surg. 2003;110(6):161-3.

Chalis JH, Lyttle JA, Stuart AE. Strangulated lumbar hernia and volvulus. Acta Orthop. Scandinavica. 1975;46:230-3.

Radais F, Facy O, Ortega-Deballon P. Transiliac hernia. Am J Surg. 2011;201(6):e41-2.

d'Hondt S, Soysal S, Kirchhoff P, Oertli D, Heizmann O. Small bowel obstruction caused by an incarcerated hernia after iliac crest bone harvest. ISRN Surg. 2011:1-3.

Haj M, Griemberg B, Alkalay I, Stamler B. Large bowel herniation through a central fracture of iliac bone. Isr J Med. 1982;18(2):281-3.

Nodarian T, Sariali E, Khiami F, Pascal-Mousselard H, Catonné Y. Iliac crest bone graft harvesting complications: A case of liver herniation. Orthop Traumatol Surg Res. 2010;96(5):593-6.

Prabhu R, Kumar N, Shenoy R. Iliac crest bone graft donor site hernia: not so uncommon. BMJ Case Rep. 2013;12:pii.

Kaushik R, Attri AK. Incisional hernia from iliac bone grafting: a report of two cases. Hernia. 2003;7:227-8.

Hamad MM, Majeed SA. Incisional hernia through iliac crest defect. Arch Orthop Trauma Surg. 1989;108:383-5.

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Published

2016-06-11

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Section

Case Reports