Bone grafting from the proximal tibia.

OBJECTIVE A retrospective study was undertaken to analyze the results of proximal tibial bone grafts with immediate postoperative weight bearing. METHODS Over a 2-year period, 54 patients underwent bone grafting harvested from the proximal tibia. Postoperatively patients were allowed to bear weight as tolerated on the donor site. Mean follow-up was 26.4 weeks, with a range of 6 to 80 weeks. Indications for bone grafting were fresh fractures with primary grafting and nonunions. RESULTS The overall complication rate was 1.9%, with one patient suffering a local hematoma. No major complications such as fracture, sensory deficit, or wound infection were observed. Immediate postoperative weight bearing did not have any deleterious effects. Higher complication rates for iliac graft sites have been reported. The amount of bone that can be harvested is usually more than adequate. CONCLUSION Complication rates are low without significant patient morbidity. Most importantly, the patients may start weight bearing immediately after surgery.

[1]  G. Friedlaender.  Bone grafts. The basic science rationale for clinical applications. , 1987, The Journal of bone and joint surgery. American volume.

[2]  Banwart Jc,et al.  Iliac crest bone graft harvest donor site morbidity. A statistical evaluation. , 1995 .

[3]  E. Keller,et al.  Iliac bone grafting: review of 160 consecutive cases. , 1987, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[4]  M. Hofbauer,et al.  Autogenous bone grafting. , 1996, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[5]  H. Watson,et al.  Late results with local bone graft donor sites in hand surgery , 1981 .

[6]  T. Sculco,et al.  The role and results of bone grafting in revision total knee replacement. , 1998, The Orthopedic clinics of North America.

[7]  T. Miclau,et al.  The effects of antibiotic-impregnated autogeneic cancellous bone graft on bone healing. , 1992, Clinical orthopaedics and related research.

[8]  S. Wagner,et al.  Ankle and subtalar fusion utilizing a tricortical bone graft, bone stimulator, and external fixator after avascular necrosis of the talus. , 1996, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[9]  P. D. Wilson,et al.  Autogenous bone grafts from the femoral head for the treatment of acetabular deficiency in primary total hip arthroplasty with cement. Long-term results. , 1995, The Journal of bone and joint surgery. American volume.

[10]  B. Riemer,et al.  Harvesting of Autogenous Cancellous Bone Graft from the: Proximal Tibial Metaphysis A Review of 230 Cases , 1991, Journal of orthopaedic trauma.

[11]  L. Schon,et al.  A New Modified Technique for Harvest of Calcaneal Bone Grafts in Surgery on the Foot and Ankle * , 1998, Foot & ankle international.

[12]  J. Hollinger,et al.  Bioactive factors and biosynthetic materials in bone grafting. , 1994, Clinics in plastic surgery.

[13]  J. Goulet,et al.  Autogenous Iliac Crest Bone Graft: Complications and Functional Assessment , 1997, Clinical orthopaedics and related research.

[14]  G. A. Catone,et al.  Tibial autogenous cancellous bone as an alternative donor site in maxillofacial surgery: a preliminary report. , 1992, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[15]  E. Blitch,et al.  Introduction to bone grafting. , 1996, The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons.

[16]  H. Burchardt.  Biology of bone transplantation. , 1987, The Orthopedic clinics of North America.

[17]  M. Danziger,et al.  Distal Tibia Bone Graft for Arthrodesis of the Foot and Ankle , 1995, Foot & ankle international.