Repeat Bone Graft Harvest From Single Iliac Crest Donor Site in Cleft Patients: A Review of Surgical Technique and Outcomes

BackgroundCleft patients may require multiple bone grafting procedures that traditionally necessitate alternating donor sites with cumulative morbidity.SolutionRe-harvesting from the same iliac crest donor site after an adequate regeneration interval.What we did that is newWe demonstrate a cortical lid and periosteum preservation technique with 14 successful re-harvesting procedures, showing a 100% successful graft integration rate with Kindelan Score 1 or 2 at 6-month follow-up with no long-term donor or recipient site complications.