Novel Use of Tricortical Iliac Crest Bone Allograft to Reconstruct the Lateral Tibia Plateau Articular Surface: A Case Series.

Abstract

Introduction: A tricortical iliac crest graft can be used to reconstruct the lateral proximal tibial articular surface.

Methods/surgical technique: Anterior tricortical iliac crest autograft from the ipsilateral pelvis is harvested to approximate the contour of the native tibial plateau. A lateral proximal tibial locking plate is used to fix the bony construct to the surrounding native bone.

Case report: Functionally, patients have been able to return to ambulation with and without an assistive device.

Conclusion: Reconstruction of the joint surface with a tricortical iliac crest graft represents a novel surgical technique that may delay the need for arthroplasty and preserve bone stock for eventual knee replacement.