title: USE OF AUTOLOGOUS BONE GRAFT ASSOCIATED WITH SUPPORT OSTEOSYNTHESIS FOR TIBIAL EDGE BONE LOSSES IN TOTAL KNEE PROSTHESES.
abstract: OBJECTIVE
  To report the initial results from the use of a new technique for fixation of bone grafts in uncontained tibial bone defects in patients undergoing total knee prosthesis implantation.
  
  
  METHODS
  Six patients with severe varus deformity of the knee who, after cuts and ligament balancing had been performed, still presented bone deficiencies that reached the edge of the tibial cut and compromised the implant stability, underwent a new fixation technique.
  
  
  RESULTS
  Five of the patients had good-clinical results, with integration of the graft within 12 weeks. One patient presented clinical complications with wound dehiscence and implant exposure, which evolved to the need for implant removal and knee arthrodesis.
  
  
  CONCLUSIONS
  Support osteosynthesis as a graft fixation method is a viable option for treating tibial bone deficiencies. The proposed technique certainly needs further studies for its validation.
authors.affiliation: Trainee Physician specializing in knee surgery and lower-limb trauma at Hospital das Clínicas, Ribeirão Preto School of Medicine, University of São Paulo (HCFMRP-USP).
authors.forename: Marcello Teixeira
authors.initials: MT
authors.lastname: Castiglia
authors.affiliation: Trainee Physician specializing in knee surgery and lower-limb trauma at Hospital das Clínicas, Ribeirão Preto School of Medicine, University of São Paulo (HCFMRP-USP).
authors.forename: Juliano Voltarelli Franco
authors.initials: JV
authors.lastname: da Silva
authors.affiliation: Trainee Physician specializing in knee surgery and lower-limb trauma at Hospital das Clínicas, Ribeirão Preto School of Medicine, University of São Paulo (HCFMRP-USP).
authors.forename: Gabriel Silva
authors.initials: GS
authors.lastname: Quialheiro
authors.affiliation: Attending Physician in the Discipline of Knee Surgery and Lower-limb Trauma, HCFMRP-USP.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Salim
authors.affiliation: PhD. Professor in the Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto School of Medicine, University of São Paulo (DMBRAL-USP).
authors.forename: Maurício Kfuri
authors.initials: MK
authors.lastname: Júnior
authors.affiliation: Titular Professor of the Department of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Ribeirão Preto School of Medicine, University of Sao Paulo (DMBRAL-USP).
authors.forename: Cleber Antonio Jansen
authors.initials: CA
authors.lastname: Paccola
keywords: Arthroplasty; Bone Transplantation; Knee Prosthesis