van den Broecke D G, Schuurman A H, Borg E D, Kon M
Department of Plastic, Reconstructive, and Hand Surgery at the University Hospital of Utrecht, The Netherlands.
Plast Reconstr Surg. 1998 Sep;102(4):1163-6. doi: 10.1097/00006534-199809040-00038.
Two patients are presented suffering from meralgia paresthetica, owing to neurotmesis of the lateral femoral cutaneous nerve following bone-graft harvesting from the iliac crest with a cylindrical osteotome. Despite this donor-site complication, the advantages of a coring technique as compared with traditional bone-graft harvesting techniques are numerous: better cosmetic results, less pain, no need for general anesthesia, shorter hospitalization, and a minimum of donor-site morbidity. Also, this technique has proven itself easy and effective. To minimize donor-site morbidity, some clinical recommendations to avoid neurotmesis are given with regard to the anatomy and anatomic variations of the lateral femoral cutaneous nerve.
本文介绍了两名患有股外侧皮神经麻痹的患者，这是由于使用圆柱形骨凿从髂嵴取骨后导致股外侧皮神经断裂所致。尽管存在这种供区并发症，但与传统的取骨技术相比，环钻技术具有诸多优点：美容效果更好、疼痛更少、无需全身麻醉、住院时间更短以及供区发病率最低。此外，该技术已证明简便有效。为尽量减少供区发病率，针对股外侧皮神经的解剖结构和解剖变异给出了一些避免神经断裂的临床建议。
