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Technical note: medial approach for proximal tibia bone graft using a manual trephine.

F Javier Barrientos Lezcano¹, Beatriz Peral Cagigal, José Miguel García Cantera

¹Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario del Rio Hortega, Valladolid, Spain. barryentos@gmail.com <barryentos@gmail.com>

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics

|May 8, 2007

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Harvesting autogenous cancellous bone grafts from the proximal tibia using a manual trephine is a safe and effective method. This technique provides a predictable bone graft source for various osseous defects, with minimal donor site complications.

Area of Science:

Orthopedic surgery
Oral and maxillofacial surgery
Regenerative medicine

Background:

Autogenous cancellous bone grafts are crucial for osseous defect reconstruction.
The proximal tibia is a common donor site for bone grafting.
Minimally invasive harvesting techniques are desirable to reduce morbidity.

Purpose of the Study:

To evaluate the efficacy and safety of using a manual trephine for harvesting bone grafts from the medial proximal tibia.
To describe the surgical technique and anatomical landmarks for this approach.

Main Methods:

A retrospective review of 33 patients who underwent bone graft harvesting from the medial proximal tibia using a manual trephine over a 3-year period.
Detailed description of the surgical approach, including anatomical landmarks and the use of a manual trephine.

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Main Results:

The medial proximal tibia provided sufficient cancellous bone graft for all evaluated osseous defects, except for bilateral sinus lifts.
No major complications were observed at the bone graft donor site.
Minor complications included two cases of local infection and one unaesthetic scar; receptor site morbidity was linked to inadequate soft tissue coverage.

Conclusions:

The medial approach to the proximal tibia using a manual trephine is a simple, safe, and predictable method for harvesting autogenous cancellous bone grafts.
This technique offers a valuable option for obtaining bone grafts with low donor site morbidity.