Nelson F Soohoo1, Andrea Cracchiolo. 1. UCLA School of Medicine, Department of Orthopaedic Surgery, 10945 Le Conte Avenue, PVUB #3355, Los Angeles, CA 90095, United States. nsoohoo@mednet.ucla.edu
Abstract
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%.
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%.
Authors: Marc Andreas Müller; Alexander Frank; Matthias Briel; Victor Valderrabano; Patrick Vavken; Vahid Entezari; Arne Mehrkens Journal: BMC Musculoskelet Disord Date: 2013-02-07 Impact factor: 2.362