Many graft materials are available for surgical treatment of maxillofacial bony defect and deformity. Despite concerted efforts to gain comparable outcomes with allogenic bone, xenogenic bone, bone substitutes, and alloplasts, the results related
to
function, from and adaptibility remain superior with autogenous bone.
The cancellous bone is relatively more osteogenic than cortical bone. The superior osteogenic properties of cancellous bone has been widely used an oral and maxillofacial surgery. Well-recognized donor sites of cancellous bone have included
ilium,
rib
and calvarial bone, But the procurement of cancellous bone from any site should be no considered biologic insult to the patients.
The proximal tibia as an alternative donor site has the potential to yield viable cancellous bone with a minimum of morbidity.
We experienced several jaw defect treated with autogenous proximal tibial cancellous bone grafting. The harvested cancellous bone was soft and easily molded to fill defects and the recipient site showed a favorable result. Moreover, with
uneventful
healing process, the donor site showed the overall lack of morbidity.
This report presents clinical applications of the autogenous cancellous bone graft from the proximal tibial metaphysis and satisfactory results to repair of the jaw defect.
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