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Iliac Crest and Rib Bone Grafts

The iliac crest and ribs are valuable sites for harvesting bone that can be used in a variety of plastic and reconstructive operations. Bone from the iliac crest is most commonly harvested through an open approach, but it can also be harvested through a percutaneous approach. The open approach offers cortical and cancellous bone, whereas the percutaneous approach yields only cancellous bone. Full-thickness bone from the ribs can also be harvested safely and efficiently. This chapter describes the techniques for these procedures, the tools routinely used, and common pitfalls and complications that the plastic surgeon must be aware of.