Sources of bone graft for treating lateral tibial plateau fractures include iliac crest, distal femur and medial tibia.1 We describe a technique whereby bone is taken from the lateral tibia itself thus avoiding donor site morbidity. Figure 1 illustrates metaphyseal cancellous bone being translocated to fill a subchondral bone defect using the precision bone grafting system (Kaltec Pty Ltd, Australia) through a fracture flap. The technique is useful with tibial plateau plate fixation as the donor site defect is covered by the plate ensuring structural stability. The articular surface is supported by bone graft, plate and screws without donor site morbidity.
Figure 1.
Tibial bone graft taken to fill subchondral defect.
Reference
- 1.Rossi R, Castoldi F, Blonna D, Marmotti A, Assom M. Arthroscopic treatment of lateral tibial plateau fractures: a simple technique. Arthroscopy. 2006;22:678.e1–6. doi: 10.1016/j.arthro.2005.09.028. [DOI] [PubMed] [Google Scholar]