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Autologous Bone-Graft Harvesting from the Proximal Tibial Metaphysis

  • Nikolaos K. Kanakaris
  • Rozalia I. Dimitriou
  • Peter V. Giannoudis
Chapter

Abstract

Autologous bone harvesting from the proximal ­tibial metaphysis represents a viable alternative. As advocated by several authors (mostly maxillofacial or foot and ankle surgeons) it is easier, faster, and with less complications (mean of 4–5%) when compared to the iliac crest (mean 24–26%). It allows the harvesting of cancellous bone, usually in smaller quantities. As reported in the literature, the graft volume that can be anticipated ranges from 5 to 30 mL.

Keywords

Cancellous Bone Proximal Tibia Tibial Tuberosity Sterile Drape Graft Volume 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1.  .
    Whitehouse MR, Lankester BJ, Winson IG, Hepple S. Bone graft harvest from the proximal tibia in foot and ankle arthrodesis surgery. Foot Ankle Int. 2006;27–11:913–6.Google Scholar
  2.  .
    Alt V, Nawab A, Seligson D. Bone grafting from the proximal tibia. J Trauma. 1999;47–3:555–7.CrossRefGoogle Scholar
  3.  .
    Marchena JM, Block MS, Stover JD. Tibial bone harvesting under intravenous sedation: morbidity and patient experiences. J Oral Maxillofac Surg. 2002;60–10:1151–4.CrossRefGoogle Scholar
  4.  .
    Alt V, Meeder PJ, Seligson D, Schad A, Atienza Jr C. The proximal tibia metaphysis: a reliable donor site for bone grafting? Clin Orthop Relat Res. 2003;414:315–21.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Nikolaos K. Kanakaris
    • 1
  • Rozalia I. Dimitriou
    • 1
  • Peter V. Giannoudis
    • 2
  1. 1.Department of Trauma and Orthopaedic SurgeryLeeds Teaching Hospitals NHS TrustLeedsUK
  2. 2.Academic Department of Trauma and Orthopaedic Surgery, School of MedicineUniversity of LeedsLeedsUK

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