Utilization of autogenous corticocancellous bone graft from the distal tibia for reconstructive surgery of the foot and ankle

Bone Graft from the Distal Medial Tibia in Foot and Ankle Surgery

“…The size of cortical strut created here is consistent with averages reported in the literature. [7][8][9][10] These grafts were harvested at an average of 27 mm proximal to the tibial plafond (range 12.9-38 mm; Table 2). Tricortical iliac crest allograft was used at the harvest site in 5 of 8 cases where corticocancellous grafts were taken.…”

“…[1][2][3][4][5][6] The distal tibia is a viable and proximate source of autogenous bone graft for foot and ankle surgery, but it is less well studied than the other sites. [7][8][9][10][11][12][13][14][15] Danziger et al 7 reported on 40 distal tibial bone grafts used in 41 arthrodesis procedures in the foot and ankle. They reported 100% union rate and zero complications for cancellous graft harvested through a 2 × 1.5 cm, oval-shaped cortical window.…”

“…There were 13 cases of erythema, 3 nonunions, and 1 tibia stress fracture following can-cellous graft harvested through a 1 × 2 cm rectangular window. Saltrick et al 9 reported on 16 cases of harvesting distal tibia corticocancellous bone grafts averaging 1.6 × 1.5 cm with no donor site complications. Weiss 15 prospectively studied 28 cases where cancellous bone graft was harvested through a 1 × 1 cm square window in the distal tibia.…”

“…10 The volume of bone available for harvest from the distal tibia is sufficient for a significant proportion of foot and ankle 〈 Clinical Research 〉 cases. [7][8][9][10][11][12][13][14][15] Several specific techniques are available, and they should be tailored to the needs of the patient. Usually this is determined by the required volume of bone and type of graft needed for each isolated case.…”

“…Previous studies have focused on either purely cancellous grafts or corticocancellous grafts from the distal tibia. [7][8][9][10]15 The purpose of this study is to present a series of consecutive cases using distal tibial bone graft harvested by a universal surgical approach, for a wide variety of indications. The amount and type of bone graft can range from small amounts of cancellous bone to large interfaces requiring corticocancellous constructs.…”