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

Lezcano FJ, Cagigal BP, Cantera JM, de la Peña Varela G, Blanco RF, Hernández AV

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

OBJECTIVE: The purpose of this review is to assess the use of a manual trephine for harvesting bone grafts from the medial aspect of proximal tibia. STUDY DESIGN: The medial approach for proximal tibia is described with detailed landmarks and anatomic relationships, pointing out the advantages of using a manual trephine. A retrospective review of 33 patients who underwent this technique in a 3-year period is reported. RESULTS: The medial aspect of proximal tibia was found to supply the requirements of cancellous bone graft for all the osseous defects, with the exception of bilateral sinus lifts. There were no major complications at the donor site; only 2 cases of local infection and unaesthetic scar were found, respectively. Morbidity at the receptor site was attributable to the lack of soft tissue coverage. CONCLUSION: Medial approach for proximal tibia with a manual trephine seems to be a valuable tool to harvest autogenous cancellous bone grafts with simplicity, safety, and predictability.

Published 19 June 2007 in Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 104(1): e11-7.
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