Abstract
Bone graft is essential in various orthopaedic procedures. Among the many donor sites for harvesting autologous bone graft, the iliac crest has been the most commonly used. However, for foot and ankle procedures the proximal tibia has gained popularity as an alternative donor site due to its anatomic proximity to the primary surgical site. In this article we evaluated the possible complications associated with harvesting proximal tibia bone graft. Our study showed the low incidence of morbidity in harvesting proximal tibia bone graft, thereby providing a good alternative donor for foot and ankle procedures.
Highlights
Bone graft is commonly used in orthopaedic surgery to fill up a bony defect
Among the common donor sites for harvesting autologous bone graft, the iliac crest has been the most commonly used for orthopaedic procedures
Other possible advantages of proximal tibia bone grafts are the availability of sufficient volume of bone graft and low donor-site morbidity
Summary
Bone graft is commonly used in orthopaedic surgery to fill up a bony defect. It can be autograft, allograft or synthetic bone graft. The presence of multipotent mesenchymal stem cells in the periosteum places autograft superior to both allograft and synthetic bone graft in repair of large structural bone defect[4]. Among the common donor sites for harvesting autologous bone graft, the iliac crest has been the most commonly used for orthopaedic procedures. Several studies have reported a complication rate of 1-4% from harvesting proximal tibia bone graft, which is less than the rate for iliac bone graft harvesting . The incidence of proximal tibia bone graft donor-site related morbidity was assessed Several studies have reported a complication rate of 1-4% from harvesting proximal tibia bone graft, which is less than the rate for iliac bone graft harvesting . 1,2,3 The most frequent donor site complications associated with iliac crest bone graft are nerve injury and hematoma .7,8 In the present study, the incidence of proximal tibia bone graft donor-site related morbidity was assessed
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