Tibial bone harvesting under intravenous sedation: Morbidity and patient experiences

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

“…Previous studies using the lateral approach to harvest bone graft from the proximal tibia found that the non-compressed volume was 5-42 ml 3,9,10,14,21 and compressed cancellous bone was 3.5-15 ml 4,9,14 . For the medial approach, previous studies showed the volume of non-compressed bone grafts ranged from 14 to 40 ml 6,7,20 and from 12 to 35 ml for the compressed bone volume 5,7,12 , which are higher than those of the present study.…”

“…This means that the larger the bone volume harvested the more risk of fracture occurring in the tibia plateau. Therefore, the patient should be refrained from playing sport or jumping for at least 2-3 months postoperatively 2,7,11,14 . This study showed that there was a strong correlation between non-compressed and compressed cancellous bone volume, so double thumb compression is a reliable method for measuring the compressed cancellous bone volume.…”

“…CATONE et al 3 reported the use of the proximal tibial metaphysis as cancellous bone graft in orthognathic surgery, the alveolar cleft, preprosthetic surgery and major jaw reconstruction. Several studies reported a complication rate of 1-4% 3,7,11,12,14,16,20,22 from harvesting proximal tibia, which is less than the iliac bone harvesting rate. Proximal tibia harvesting also requires less operating time, is easy to perform 16 and has less gait disturbance when compared to iliac bone harvesting 10 .…”

Maxillary Sinus Floor Lifting Using Freeze-Dried Homologous Bone And Tibia Autologous Bone: Report On Radiographic And Histological Results

“…In addition, it can be done under local anesthesia, without reducing the quantity or quality of available bone. [32][33][34] The use of tibia bone has not been sufficiently documented. Additional studies are required to show that tibia grafts can provide conditions for optimal bone regeneration, with a manageable postoperative period for patients in terms of pain and inabilities.…”

“…Además, ofrece la posibilidad de realizarse bajo anestesia local, sin disminuir la cantidad o la calidad de hueso disponible. [32][33][34] En nuestro medio, el uso del hueso de tibia no ha sido documentado. Se requieren estudios que demuestren que su utilización puede brindar condiciones de regeneración ósea óptima, con un postoperatorio manejable para el paciente en términos de dolor e incapacidad.…”