Autologous Bone-Graft Harvesting from the Proximal Tibial Metaphysis

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


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.


Cancellous Bone Proximal Tibia Tibial Tuberosity Sterile Drape Graft Volume 
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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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