Proximal tibial bone graft: the volume of cancellous bone, and strength of decancellated tibias by the medial approach

Vittayakittipong, P.; Nurit, W.; Kirirat, Pornpimol

doi:10.1016/j.ijom.2011.10.023

Cited by 15 publications

(21 citation statements)

References 22 publications

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“…This is consistent with findings in a cadaveric study by P. Vittayakittipong et al which showed that the strength of decancellated tibias and intact tibias after harvesting cancellous bone graft were not different 1,3 .…”

Section: Resultssupporting

confidence: 92%

“…Besides that, other possible advantages of proximal tibia bone grafts are the availability of sufficient volume of bone graft and low donor-site morbidity. 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 .…”

Section: Introductionmentioning

confidence: 91%

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Proximal Tibia Bone Graft: An alternative Donor Source especially for Foot and Ankle Procedures

TY¹,

S²,

Asni³

et al. 2015

MOJ

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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.

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Section: Resultssupporting

confidence: 92%

Section: Introductionmentioning

confidence: 91%

Proximal Tibia Bone Graft: An alternative Donor Source especially for Foot and Ankle Procedures

TY¹,

S²,

Asni³

et al. 2015

MOJ

View full text Add to dashboard Cite

show abstract

“…Another study by Vittayakittipong et al16 showed that the mean maximal compressive strength was 9,087.50 N in a group of decancellated tibias and 9,491.13 N in a group of intact tibias. There was no significant difference between the two groups, although greater collection of bone tended to cause a decrease in bone resistance.…”

Section: Discussionmentioning

confidence: 95%

Tibial bone fractures occurring after medioproximal tibial bone grafts for oral and maxillofacial reconstruction

Kim

Cho

Pae

et al. 2013

J Korean Assoc Oral Maxillofac Surg

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ObjectivesOral and maxillofacial defects often require bone grafts to restore missing tissues. Well-recognized donor sites include the anterior and posterior iliac crest, rib, and intercalvarial diploic bone. The proximal tibia has also been explored as an alternative donor site. The use of the tibia for bone graft has many benefits, such as procedural ease, adequate volume of cancellous and cortical bone, and minimal complications. Although patients rarely complain of pain, swelling, discomfort, or dysfunction, such as gait disturbance, both patients and surgeons should pay close attention to such after effects due to the possibility of tibial fracture. The purpose of this study is to analyze tibial fractures that occurring after osteotomy for a medioproximal tibial graft.Materials and MethodsAn analysis was intended for patients who underwent medioproximal tibial graft between March 2004 and December 2011 in Inha University Hospital. A total of 105 subjects, 30 females and 75 males, ranged in age from 17 to 78 years. We investigated the age, weight, circumstance, and graft timing in relation to tibial fracture.ResultsTibial fractures occurred in four of 105 patients. There were no significant differences in graft region, shape, or scale between the fractured and non-fractured patients.ConclusionPatients who undergo tibial grafts must be careful of excessive external force after the operation.

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“…We assume that cortical consolidation (16 of 17 cases) restored the compressive and torsional strength of the proximal tibia, since the cortical ring was closed and stress risers dissipated. 25 However, cancellous bone is far more important in the epiphysis to withstand the forces affecting the joint surface. This is a preliminary study and should be followed by a prospective multicenter study examining the metaphysis immediately postoperatively and after a few years by CT evaluation with Hounsfield measurements.…”

Section: Discussionmentioning

confidence: 99%

Remodeling of the Proximal Tibia Subsequent to Bone Graft Harvest

et al. 2015

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Proximal tibial bone graft: the volume of cancellous bone, and strength of decancellated tibias by the medial approach

Cited by 15 publications

References 22 publications

Proximal Tibia Bone Graft: An alternative Donor Source especially for Foot and Ankle Procedures

Proximal Tibia Bone Graft: An alternative Donor Source especially for Foot and Ankle Procedures

Tibial bone fractures occurring after medioproximal tibial bone grafts for oral and maxillofacial reconstruction

Remodeling of the Proximal Tibia Subsequent to Bone Graft Harvest

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