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Morbidity Associated With Distal Tibial Autograft Harvest.
Akshay Jain1, Aaron M Rathsam1, Katie J Springer1
1University of Pittsburgh Medical Center, Mercy Hospital, Pittsburgh, PA.
Distal tibial autograft harvesting for foot and ankle surgery shows low complication rates. This retrospective study found an 8.2% overall complication rate, supporting its use as a donor site.
Area of Science:
- Orthopedic Surgery
- Bone Grafting Techniques
- Foot and Ankle Procedures
Background:
- Morbidity associated with distal tibial autograft harvesting is not well-defined.
- Understanding donor site complications is crucial for surgical decision-making.
Purpose of the Study:
- To evaluate the morbidity of distal tibial autograft harvesting.
- To assess complication rates in patients undergoing foot and ankle arthrodesis.
Main Methods:
- Retrospective analysis of 107 patients (18-80 years old) over 13 years.
- Inclusion of patients who underwent ipsilateral distal tibial bone graft harvesting.
- Average follow-up of 11.2 months post-surgery.
Main Results:
- Distal tibial stress fractures occurred in 4.5% of patients.
- The overall postoperative complication rate was 8.2%.
- Low incidence of complications was observed at the donor site.
Conclusions:
- Distal tibial autograft harvesting demonstrates low morbidity.
- The distal tibia is a suitable donor site for autograft harvesting in foot and ankle surgery.
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