Summary. This part of literature review is devoted to the main methods of critical bone defects replacement of the tibia, which cannot be repaired by using bone autoplasty. A search in the PubMed database for the period 2010 - 2023 was carried out, with preference given to the material from the last 5 years; the advantages and disadvantages of the most popular methods of treatment are shown. This article provides a descriptive, non-systematic review of the current literature on methods of tibial bone defect replacement and possible directions for future research. A thorough search in the PubMed database was performed using relevant search terms, with peer-reviewed articles in English identified and evaluated. No strict inclusion or exclusion criteria were used to select articles for a full-text review. Instead, a subjective assessment of the relevance of individual articles to the overall narrative and surgical techniques review was made, which ultimately resulted in 40 articles being referenced.