Technical note: medial approach for proximal tibia bone graft using a manual trephine.
OBJECTIVE
The purpose of this review is to assess the use of a manual trephine for harvesting bone grafts from the medial aspect of proximal tibia.


METHODS
The medial approach for proximal tibia is described with detailed landmarks and anatomic relationships, pointing out the advantages of using a manual trephine. A retrospective review of 33 patients who underwent this technique in a 3-year period is reported.


RESULTS
The medial aspect of proximal tibia was found to supply the requirements of cancellous bone graft for all the osseous defects, with the exception of bilateral sinus lifts. There were no major complications at the donor site; only 2 cases of local infection and unaesthetic scar were found, respectively. Morbidity at the receptor site was attributable to the lack of soft tissue coverage.


CONCLUSIONS
Medial approach for proximal tibia with a manual trephine seems to be a valuable tool to harvest autogenous cancellous bone grafts with simplicity, safety, and predictability.
Lezcano
F Javier Barrientos
FJ
Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario del Rio Hortega, Valladolid, Spain. barryentos@gmail.com <barryentos@gmail.com>
Cagigal
Beatriz Peral
BP
Cantera
José Miguel García
JM
de la Peña Varela
Gonzalo
G
Blanco
Raúl Floriano
RF
Hernández
Alberto Verrier
AV
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000601:surgery; D008875:Middle Aged; D056948:Orthognathic Surgical Procedures; D012189:Retrospective Studies; D013977:Tibia / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*