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Updated: Jun 27, 2026

Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
The results of utilizing proximal tibial bone graft in reconstructive procedures of the foot and ankle
Nelson F Soohoo1, Andrea Cracchiolo
1UCLA School of Medicine, Department of Orthopaedic Surgery, 10945 Le Conte Avenue, PVUB #3355, Los Angeles, CA 90095, United States. nsoohoo@mednet.ucla.edu
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%.
