The results of utilizing proximal tibial bone graft in reconstructive procedures of the foot and ankle.
BACKGROUND
The proximal tibia is becoming a popular site for harvesting autogenous bone graft. Reports on the use of the proximal tibia for bone graft have focused on donor-site morbidity. The purpose of this study is to determine the clinical rate of bony healing following the use of proximal tibial bone graft in foot and ankle procedures.


METHODS
This study is a retrospective review of consecutive patients who underwent proximal tibial bone grafting as an adjunct to a foot and ankle reconstructive procedure. Patients undergoing this combination of procedures at a single institution over a 2-year period were eligible for inclusion.


RESULTS
There were no fractures of the donor site or need to prolong non-weightbearing status beyond that required for the primary operation. Twenty-three of the 25 arthrodesis procedures healed completely. Three fracture cases also healed completely.


CONCLUSIONS
Our findings expand on prior studies by demonstrating the efficacy of proximal tibia bone graft in achieving bony healing in foot and ankle procedures with a union rate of 93%.
Soohoo
Nelson F
NF
UCLA School of Medicine, Department of Orthopaedic Surgery, 10945 Le Conte Avenue, PVUB #3355, Los Angeles, CA 90095, United States. nsoohoo@mednet.ucla.edu
Cracchiolo
Andrea
A
D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery; D001174:Arthrodesis; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013977:Tibia / Q000637:transplantation*; D020858:Tissue and Organ Harvesting; D016474:Weight-Bearing; D014945:Wound Healing