Tibial Plateau Fracture With Proximal Tibia Autograft Harvest for Foot Surgery
Gregory J. Galano, MD, and Justin K. Greisberg, MD
Dr. Galano is Resident, and Dr. Greisberg is Assistant Professor, Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York.
Abstract not available. Introduction provided instead.
The proximal tibia metaphysis is a useful site for autologous graft harvesting.1-3 Its proposed advantage over allograft is quicker and more reliable incorporation with less risk of disease transmission or immunologic response.4 The relatively high
donor site morbidity historically associated with iliac crest autograft harvest has made proximal tibia autograft harvest a viable option for lower extremity procedures.5-8
Most experience with the proximal tibial metaphysis has been in harvesting cancellous bone. For some time, the authors have been harvesting structural bone graft from the proximal lateral tibial metaphysis for use in lateral column-lengthening procedures.
This report describes the technique and a complication from one of those procedures.