Techniques for harvesting autogenous bone graft of the lower extremity

Autogenous bone grafts have several advantages over allogenic bone grafts, especially when being used for arthrodesis or for revision of malunions or nonunions. Procurement of these grafts can come from remote regions or from areas adjacent to the operative site. The lower extremity provides a source for obtaining cortical, corticocancellous, and cancellous bone for use in foot and ankle surgery. Harvesting techniques do not come without complications and the necessity for proper techniques in handling is crucial.